This bill introduces new definitions and requirements related to cost-sharing for prescription drugs under health benefit plans in Kansas. It defines terms such as "cost-sharing requirement," "health benefit plan," "health insurer," "pharmacy benefits manager," and "pharmacy services administrative organization." The bill mandates that when calculating a covered individual's out-of-pocket maximum or cost-sharing requirement, health insurers and pharmacy benefits managers must include amounts paid for prescription drugs that either lack a generic equivalent or for which the individual has obtained prior authorization or complied with specific protocols.

Additionally, the bill stipulates that covered individuals are exempt from certain utilization management processes, such as prior authorization and step-therapy protocols, if these processes are prohibited under existing state law. It also addresses the implications for health savings account contributions, ensuring that the provisions apply to deductibles after the minimum deductible has been met. The commissioner is tasked with adopting necessary rules and regulations to implement these provisions.