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Bill > H1145


MA H1145

Relative to the treatment of epilepsy and seizure disorders


summary

Introduced
01/22/2019
In Committee
01/22/2019
Crossed Over
Passed
Dead
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)

Last Action

Reporting date extended to Thursday December 31, 2020, pending concurrence (on 06/22/2020)

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