Requires health insurers, SHBP, and SEHBP to provide coverage for certain drug regimens for treatment of AIDS or HIV under certain circumstances.
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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 requires health insurers, including those offering SHBP, SEHBP, and individual plans, as well as the State Health Benefits Commission and School Employees’ Health Benefits Commission, to provide coverage for specific drug regimens used to treat AIDS or HIV. It allows for coverage of single-tablet regimens if they are as effective as multi-tablet regimens, and mandates coverage of multi-tablet regimens if they are clinically equally effective and more likely to improve patient adherence, provided a peer review of the literature has been conducted by an infectious disease specialist. The bill also establishes timelines for prior authorization processes and clarifies definitions related to AIDS and HIV.
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