Insurers could not abruptly drop your brand-name drug coverage

Provides that every insurance policy which provides coverage for prescription drugs shall insure that there is continuous coverage of a single source drug that is part of a prescribed therapy until such prescribed therapy is no longer medically necessary for the enrollee of such policy; defines "single source drug".

Introduced· 2025-01-09

Who's it for

Who's it for: Everyday People

What it means for you

9/10Helps you

Good for everyday people ·

Plain‑English summary, cross‑checked against the official bill text.

This bill would force health insurers to keep paying for your brand-name medication while you appeal their decision to drop it from their approved list.

Our take

What we think, in plain words.

If your health insurance suddenly stops covering a medication you rely on, it can be terrifying. This bill would make sure that if you are taking a brand-name drug with no generic option, your insurer has to keep covering it while you fight their decision. It gives patients breathing room instead of forcing them to pay out of pocket or skip doses during an appeal.

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