summary
Introduced
01/22/2019
01/22/2019
In Committee
01/22/2019
01/22/2019
Crossed Over
Passed
Dead
12/31/2020
12/31/2020
Introduced Session
191st General Court
Bill Summary
Relative to the treatment of epilepsy and seizure disorders. Health Care Financing.
AI Summary
This bill requires the Massachusetts Medicaid program (MassHealth) and its contracted insurers to establish a step therapy program for prescription medications used to treat epilepsy and seizure disorders. Under this program, patients may be required to try and fail on one other medication before the originally prescribed medication is authorized for coverage. However, the bill also mandates that prescribing practitioners have a clear and convenient process to request an override of this step therapy requirement in certain cases, such as if the preferred treatment has been ineffective or is expected to cause harm to the patient. The step therapy requirement is limited to a 30-day period, after which the practitioner's recommended treatment must be covered if they deem the initial treatment to be clinically ineffective.
Committee Categories
Health and Social Services
Sponsors (8)
Mike Day (D),
Carole Fiola (D),
Stephen Hay (D),
Hannah Kane (R),
Matt Muratore (R),
Dave Robertson (D),
Steve Ultrino (D),
Bud Williams (D),
Last Action
Reporting date extended to Thursday December 31, 2020, pending concurrence (on 06/22/2020)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
---|---|
State Bill Page | https://malegislature.gov/Bills/191/H1145 |
Bill | https://malegislature.gov/Bills/191/H1145.pdf |
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