Prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions for covered persons solely because of change in health benefits plan or pharmacy benefits manager.
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed General Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill prevents the State Health Benefits Program (SHBP), the School Employees’ Health Benefits Program (SEHBP), and Medicaid from denying coverage for maintenance medications used to treat chronic conditions simply because the health benefits plan or pharmacy benefits manager changes. It ensures that individuals who were already taking these medications before a plan change will continue to have their prescriptions covered if the new plan offers similar drug coverage. The bill applies to contracts purchased by these programs starting after the law’s enactment.
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- Third Reading Reprint
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