HB 18-43: Insulin Price Cap Act (Passed)

[Esteemed Jimmy]

INSULIN PRICE CAP ACT

To set a maximum price on the cost of insulin.

SECTION I.: NAME

a.  This Act may be cited as the Insulin Price Cap Act.

SECTION II: PURPOSE

a. This bill is in response to Colorado proposing such a bill in real life.
b. This bill proposes curbing the cost of insulin to patients (esp. those with diabetes) who need the drug for medical necessity reasons.
c. This bill combats the pharmaceutical price gouging issue with this drug.
d. The price of insulin out-of-pocket shall be capped at $45, though regions can set the cap lower if they wish.
e. All health insurance plans-- whether individual, employer, or AtlasCare-- shall cover the insulin cap costs in their plans.

SECTION III: TIMING

a. This act shall take effect fourteen (14) days after adoption.

Passed in the House of Representatives 8-0-0-1



As amended:
Passed in the Senate 6-0-0-0



Passed in the House of Representatives 7-0-0-2

Sponsor: JGibson
House Designation: HB 18-43

[Esteemed Jimmy]

HB 18-43 is now on the House floor. Debate on this legislation has begun and shall last for no less than 72 hours.

[The world will shine with light in our nightmare]

The Speaker asked me to clarify whether over-the-counter drugs like insulin are covered by AtlasCare, and it is under the Cheaper Medicine Helps The Poors Act.  Both Fremont and Lincoln currently have a mix of public-private systems, but the South, to my knowledge, does not have a public option or mandate under its healthcare law and therefore people without insurance would have to pay out-of-pocket for drugs like insulin.  If my understanding of Southern law is incorrect, I would ask Mr. R (who I believe wrote the South's law) or someone more familiar with the law to correct the record, but as it stands now people without insurance have to pay the full price for insulin.

[Fmr. Representative Encke]

The Speaker asked me to clarify whether over-the-counter drugs like insulin are covered by AtlasCare, and it is under the Cheaper Medicine Helps The Poors Act.  Both Fremont and Lincoln currently have a mix of public-private systems, but the South, to my knowledge, does not have a public option or mandate under its healthcare law and therefore people without insurance would have to pay out-of-pocket for drugs like insulin.  If my understanding of Southern law is incorrect, I would ask Mr. R (who I believe wrote the South's law) or someone more familiar with the law to correct the record, but as it stands now people without insurance have to pay the full price for insulin.

My understanding is that AtlasCare is automatically provided as a public option on all regional exchanges unless there is an opt-out. The South has not opted out, to my knowledge.

[JGibson]

I rise to speak about the bill that I proposed on capping the price of insulin.

An important question on this issue regarding people without insurance needs to be raised. I don't believe that they should have to pay the full cost of insulin. If the price cap can be amended to include those on currently without any insurance plan, that would be nice. 


This bill is sorely needed because of the runaway cost of insulin that needs to be combatted.

[Mr. Reactionary]

The Speaker asked me to clarify whether over-the-counter drugs like insulin are covered by AtlasCare, and it is under the Cheaper Medicine Helps The Poors Act.  Both Fremont and Lincoln currently have a mix of public-private systems, but the South, to my knowledge, does not have a public option or mandate under its healthcare law and therefore people without insurance would have to pay out-of-pocket for drugs like insulin.  If my understanding of Southern law is incorrect, I would ask Mr. R (who I believe wrote the South's law) or someone more familiar with the law to correct the record, but as it stands now people without insurance have to pay the full price for insulin.

My understanding is that AtlasCare is automatically provided as a public option on all regional exchanges unless there is an opt-out. The South has not opted out, to my knowledge.

Whe opted out of the exchange and instead have insurers of last resort who have to underwrite anyone at the minimum Atlascare coverage plus gender surgery in exchange for special contracting rights with healthcare providers. The largest such insurer of last resort is BlueCross South. SoIA Rfayette approved our opt out in late 2017 or early 2018.

[Fmr. Representative Encke]

The Speaker asked me to clarify whether over-the-counter drugs like insulin are covered by AtlasCare, and it is under the Cheaper Medicine Helps The Poors Act.  Both Fremont and Lincoln currently have a mix of public-private systems, but the South, to my knowledge, does not have a public option or mandate under its healthcare law and therefore people without insurance would have to pay out-of-pocket for drugs like insulin.  If my understanding of Southern law is incorrect, I would ask Mr. R (who I believe wrote the South's law) or someone more familiar with the law to correct the record, but as it stands now people without insurance have to pay the full price for insulin.

My understanding is that AtlasCare is automatically provided as a public option on all regional exchanges unless there is an opt-out. The South has not opted out, to my knowledge.

Whe opted out of the exchange and instead have insurers of last resort who have to underwrite anyone at the minimum Atlascare coverage plus gender surgery in exchange for special contracting rights with healthcare providers. The largest such insurer of last resort is BlueCross South. SoIA Rfayette approved our opt out in late 2017 or early 2018.

Alright, my mistake.

[alancia]

This bill looks good for me, it protects those who are the most vulnerable to price gouging from pharma companies while giving the Regions some autonomy in the cap they can put into insulin. I support this.

[Dr. MB]

Great idea! People shouldn't risk death because they can't afford life-saving drugs.

[Esteemed Jimmy]

I motion for a final vote. Representatives have 24 hours for objections.

[P. Clodius Pulcher did nothing wrong]

As Deputy Speaker during Jimmy's leave of absence, I'll take over the voting for this bill.

A vote on this bill is open and will close after 72 hours, or when all members have voted. Members, please vote AYE, NAY, or ABSTAIN!

[Dr. MB]

Aye

[fhtagn]

Aye

[P. Clodius Pulcher did nothing wrong]

Aye

[JGibson]

AYE

[alancia]

Aye

[Coastal Elitist]

Aye

[#TheShadowyAbyss]

Aye

[Esteemed Jimmy]

Aye

[tmthforu94]

Good bill, I hope to sign it soon!

[Esteemed Jimmy]

Voting has closed. The final vote stands as:

Aye: 8 (Alancia, fhtagn, JGibson, Jimmy7812, MB, razze, Tea Party Hater, TheShadowyAbyss)
Nay: 0
Abstain: 0
Missed: 1 (lfromnj)

Therefore, voting has closed and this bill passes 8-0-0-1.

[Esteemed Jimmy]

INSULIN PRICE CAP ACT

To set a maximum price on the cost of insulin.

SECTION I.: NAME

a.  This Act may be cited as the Insulin Price Cap Act.

SECTION II: PURPOSE

a. This bill is in response to Colorado proposing such a bill in real life.
b. This bill proposes curbing the cost of insulin to patients (esp. those with diabetes) who need the drug for medical necessity reasons.
c. This bill combats the pharmaceutical price gouging issue with this drug.
d. The price of insulin out-of-pocket shall be capped at $45, though regions can set the cap lower if they wish.
e. All health insurance plans-- whether individual, employer, AtlasCare, Medicaid, or Medicare-- shall cover the insulin cap costs in their plans.

SECTION III: TIMING

a. This act shall take effect fourteen (14) days after adoption.

Passed in the House of Representatives 8-0-0-1

[Esteemed Jimmy]

The Senate has amended the version of this bill that passed the House:

INSULIN PRICE CAP ACT

To set a maximum price on the cost of insulin.

SECTION I.: NAME

a.  This Act may be cited as the Insulin Price Cap Act.

SECTION II: PURPOSE

a. This bill is in response to Colorado proposing such a bill in real life.
b. This bill proposes curbing the cost of insulin to patients (esp. those with diabetes) who need the drug for medical necessity reasons.
c. This bill combats the pharmaceutical price gouging issue with this drug.
d. The price of insulin out-of-pocket shall be capped at $45, though regions can set the cap lower if they wish.
e. All health insurance plans-- whether individual, employer, or AtlasCare-- shall cover the insulin cap costs in their plans.

SECTION III: TIMING

a. This act shall take effect fourteen (14) days after adoption.

Passed in the House of Representatives 8-0-0-1



As amended:
Passed in the Senate 6-0-0-0

[Esteemed Jimmy]

A final vote has begun on the senate amended version of this bill. Please vote AYE, NAY, or ABSTAIN.

[Attorney General, Senator-Elect, & Former PPT Dwarven Dragon]

A final vote has begun on the senate amended version of this bill. Please vote AYE, NAY, or ABSTAIN.

The Senate link is wrong, it goes to something called the "Young Traders Act".