{"data":{"id":"us-or/ors-743a.069","jurisdiction":"us-or","citation":"ORS 743A.069","heading":"Insulin.","body":"(1) As used in this section:\n      (a) “Health benefit plan” has the meaning given that term in ORS 743B.005.\n      (b) “Insulin” has the meaning given that term in ORS 689.696.\n      (2) A health benefit plan offered in this state may not require an enrollee in the plan to incur cost-sharing or other out-of-pocket costs that exceed $35 for each 30-day supply of a type of insulin prescribed for the treatment of diabetes or $105 for each 90-day supply.\n      (3) The coverage under this section may not be subject to a deductible imposed by a health benefit plan.\n      (4) This section does not prohibit a health benefit plan from using a drug formulary or other utilization review protocol applicable to prescription drug coverage under the plan.\n      (5) This section is not subject to ORS 743A.001.","path":["18 - Financial Institutions, Insurance","56. Insurance","Chapter 743A — Health Insurance: Reimbursement of Claims"],"source_url":"https://www.oregonlegislature.gov/bills_laws/ors/ors743A.html","current_through":"2025 Edition","vintage":"","retrieved_at":"2026-09-03T23:50:17Z","sha256":"e9f4f316637cc920f855b2babb666b6a041fd795f5e7e615e30f24f5cffdc03c","source_id":"us-or","stale":false,"prev":"us-or/ors-743a.068","next":"us-or/ors-743a.070"},"notice":"GroundRules: Original legal text. Not legal advice."}
