MA S543

Bill

Reducing health care costs through improved medication management

Introduced
01/22/2019

In Committee
01/22/2019

Crossed Over

Passed

Dead
12/31/2020

Introduced Session

191st General Court

Bill Summary

For legislation to reduce health care costs through improved medication management. Financial Services.

AI Summary

This bill aims to reduce healthcare costs through improved medication management. It requires insurance policies, contracts, and certificates that provide prescription drug coverage and use step therapy protocols to meet certain requirements. These include basing step therapy protocols on clinical practice guidelines developed by a multidisciplinary panel that manages conflicts of interest, and providing a clear and accessible process for patients and providers to request exceptions to the step therapy protocol. The bill also sets timelines for insurers or utilization review organizations to respond to exception requests. The requirements apply to policies, contracts, and certificates delivered, issued, or renewed on or after January 1, 20XX.

Committee Categories

Business and Industry

Sponsors (2)

Will Brownsberger (D), Frank Moran (D),

Last Action

Accompanied a study order, see S2543 (on 02/18/2020)

Official Document

https://malegislature.gov/Bills/191/S543

(9 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://malegislature.gov/Bills/191/S543
Bill	https://malegislature.gov/Bills/191/S543.pdf

Bill	Bill Name	Last Action	Type
H1151	To encourage quality reviews and reduce costs in health care	Accompanied a study order, see H5081	Similar To
H1192	Relative to the examination of health care cost trends in MassHealth	Reporting date extended to Thursday December 31, 2020, pending concurrence	Similar To
S1295	To reduce healthcare costs by promoting non-biased prescriber education	Accompanied a new draft, see S2671	Similar To
S2543	Order relative to authorizing the joint committee on Financial Services to make an investigation and study of certain current Senate documents relative to financial services issues	Discharged to the committee on Senate Rules	Replaced by
S559	Relative to special education health care costs	Accompanied a study order, see S2543	Similar To
S599	To provide immediate relief to businesses on health care costs	Accompanied a study order, see S2543	Similar To
S607	Reducing the financial burden of surprise medical bills for patients	Accompanied a study order, see S2543	Similar To
S687	To provide immediate relief to businesses on health care costs	Ought NOT to pass (under Joint Rule 10) and placed in the Orders of the Day for the next session	Similar To
S718	To improve health care cost accountability	Ought NOT to pass (under Joint Rule 10) and placed in the Orders of the Day for the next session	Similar To

Bill > S543

MA S543

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (2)

Last Action

Official Document

bill text

bill summary

bill summary

bill summary