News Briefs: Nevada Mulls Covering More Drugs on EHB Benchmark Plan
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Feb 13, 2025
The Nevada Division of Insurance is seeking public comment on proposed updates to its essential health benefits benchmark plan, which would require Affordable Care Act exchange plans sold in the state to expand their prescription drug coverage. The Division of Insurance is considering selecting a new set of benefits to become its new benchmark plan and must seek public comment under CMS rules. The state is considering adding all FDA-approved drugs to treat opioid use disorder; all approved drugs to test, treat and prevent HIV; and all approved drugs to test, treat, and prevent hepatitis B and C. The deadline for submitting comments is March 9.
A couple in Wisconsin filed suit against Walgreens and UnitedHealth Group’s Optum Rx PBM after their son’s death following a $500 surge in his asthma medication’s price. The Associated Press reported that Shanon and William Schmidtknecht filed the lawsuit a year after their 22-year-old son died of an asthma attack after he could not afford to refill his medication. The suit alleges the pharmacy and PBM did not give him advance notice that his out-of-pocket costs for Advair Diskus were increasing from $66 to $539. He suffered a fatal asthma attack several days later. They also claim the price was increased without a valid medical reason.
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