Rhode Island General Laws 42-66.2-4.1. Catastrophic illness coverage
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The state shall pay one hundred percent (100%) of the prescription drug costs for eligible drugs as defined in § 42-66.2-3(5) for any consumer, as defined in § 42-66.2-3(1), who is eligible to receive pharmaceutical drug coverage benefits under § 42-66.2-5(a)(1)(i) or (a)(2)(i) and who has expended at least one thousand five hundred dollars ($1,500) in total co-payments within a state fiscal year. The initial one thousand five hundred dollars ($1,500) paid by the consumer shall not be reimbursed by the state. The state shall make payments under this section only until the end of the fiscal year.
History of Section.
P.L. 2001, ch. 77, art. 26, § 2; P.L. 2001, ch. 138, § 1; P.L. 2005, ch. 410, § 23.
Terms Used In Rhode Island General Laws 42-66.2-4.1
- Consumer: means any full-time resident of the state who fulfills the eligibility requirements set forth in Rhode Island General Laws 42-66.2-3
- Eligible drugs: means insulin, injectable drugs for multiple sclerosis, and shall mean non-injectable drugs which require a physician's prescription according to federal law and which are contained in the following American Hospital Formulary Service pharmacologic-therapeutic classifications categories that have not been determined by the federal "Drug Efficacy and Safety Implementation (DESI) Commission" to lack substantial evidence of effectiveness. See Rhode Island General Laws 42-66.2-3
- Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.