<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="15-850" title_number="15" title_name="Health Insurance" subtitle_number="8" subtitle_name="Required Health Insurance Benefits">
  <level label="a">
    <text>In this section, “opioid antagonist” means:</text>
    <level label="1">
      <text>naloxone hydrochloride; or</text>
    </level>
    <level label="2">
      <text>any other similarly acting and equally safe drug approved by the federal Food and Drug Administration for the treatment of a drug overdose.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>This section applies to:</text>
      <level label="i">
        <text>insurers and nonprofit health service plans that provide coverage for prescription drugs under individual, group, or blanket health insurance policies or contracts that are issued or delivered in the State; and</text>
      </level>
      <level label="ii">
        <text>health maintenance organizations that provide coverage for prescription drugs under individual or group contracts that are issued or delivered in the State.</text>
      </level>
    </level>
    <level label="2">
      <text>An insurer, a nonprofit health service plan, or a health maintenance organization that provides coverage for prescription drugs through a pharmacy benefits manager is subject to the requirements of this section.</text>
    </level>
  </level>
  <level label="c">
    <text>An entity subject to this section that includes on its formulary an opioid antagonist may apply a prior authorization requirement for an opioid antagonist only if the entity provides coverage for at least one formulation of the opioid antagonist without a prior authorization requirement.</text>
  </level>
</section>
