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H.B. 156 VETOES
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(ii) except as provided in [subsection (c)] SUBSECTIONS (C) AND (D)
of this section, shall include the health insurance benefit options established by the
Secretary; and
(iii) except as provided in paragraph (2) of this subsection and
[subsection (c)] SUBSECTIONS (C) AND (D) of this section, may include any other
benefit option that the Secretary considers appropriate.
(2) The Program may not contain any of the benefits provided under
Division II or Title 35 or Title 37 of this article.
(c) (1) Except as provided in paragraph (2) of this subsection, in fiscal years
2006 and 2007, the Program shall provide the same health insurance benefits
options[, prescription drug benefit options,] AND co-premiums and co-payments to
employees and retirees and their dependents as provided on January 1, 2005.
(2) In fiscal years 2006 and 2007:
(i) the employee or retiree share of the premium for the employee
or retiree and their dependents for the point of service health plan may increase to
17%; AND
(ii) the Program may include disease management programs[;
(iii) SUBJECT TO ITEM (V) OF THIS PARAGRAPH, the Prescription
Drug Benefit Plan shall offer a voluntary mail order option and the Prescription Drug
Benefit Plan may charge enrollees the following co-payments for prescription drugs:
1. $5 for generic drugs;
2. $15 for preferred drugs on the State formulary; and
3. $25 for drugs that are not preferred drugs on the State
formulary;
(iv) SUBJECT TO ITEM (V) OF THIS PARAGRAPH, the Prescription
Drug Benefit Plan may charge a co-payment as provided in item (iii) of this
subsection PARAGRAPH for each 45 day 45-DAY prescription;
(V) THE PRESCRIPTION DRUG BENEFIT PLAN:
1. SHALL OFFER A VOLUNTARY MAIL ORDER OPTION TO
ENROLLEES; AND
2. MAY CHARGE ENROLLEES A CO-PAYMENT NOT
EXCEEDING $20 FOR EACH 90-DAY PRESCRIPTION FILLED THROUGH THE
VOLUNTARY MAIL ORDER OPTION;
(v) (VI) for each fiscal year, the total amount of co-payments
charged the employee or retiree and their dependents as provided in item ITEMS (iii)
AND (V) of this subsection PARAGRAPH may not exceed $700; and
(vi) (VII) the Prescription Drug Benefit Plan may include the
following programmatic changes:
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