Wisconsin
WI AB 773
Issue Area: Affiliate/Anti-steering, Any willing pharmacy, accreditation
Limits ability to utilize affiliate/preferred pharmacies, prohibits ability to use any tool to direct individuals towards the most cost effective pharmacy option, requires any pharmacy to be in-network if it accepts network participation terms and conditions, limits ability to establish accreditation standards for network participation, applies to all self-insured plans in the state.
WI AB 773
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WI SB 100
Issue Area: Copay Accumulator, ERISA
A requirement that insurance carriers and entities managing drug benefits apply all financial contributions made on behalf of an enrollee towards their deductible, out of pocket costs, and cost-sharing responsibilities. This requirement would also apply to self-insured plans in the state.
WI SB 100
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WI SB 719
Issue Area: Copay Cap, Fiduciary Mandate, ERISA
Introduces copay cap on insulin and imposes a fiduciary responsibility on PBMs managing drug benefits for all plans in the state.
WI SB 719
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WI SB 737
Issue Area: Affiliate/Anti-steering, Any willing pharmacy, accreditation
Limits ability to utilize affiliate/preferred pharmacies, prohibits ability to use any tool to direct individuals towards the most cost effective pharmacy option, requires any pharmacy to be in-network if it accepts network participation terms and conditions, limits ability to establish accreditation standards for network participation. applies to all self-insured plans in the state.
WI SB 737
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