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Bill > H4518

MA H4518

Promoting continuity of care for multiple sclerosis treatment

summary

Introduced
03/04/2020
In Committee
03/04/2020
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

191st General Court

Bill Summary

Promoting continuity of care for multiple sclerosis treatment

AI Summary

This bill requires all health insurance plans in Massachusetts, including those provided by the state, to cover the cost of medications for the treatment of multiple sclerosis (MS) that a patient has already been prescribed and is currently taking, provided the patient has been diagnosed with MS and is stable or has shown improvement on the medication. The bill also requires a one-time 30-day transition fill or infusion for patients who are newly enrolled in the insurance plan, allowing them to continue their existing MS treatment during the first 90 days of coverage. The requirements do not apply to new MS drugs that have not been reviewed by the insurance plan's Pharmacy and Therapeutics (P&T) committee, products provided as samples, or medications prescribed outside of the FDA-approved indication.

Committee Categories

Health and Social Services

Sponsors (64)

Brian Ashe (D),  Bruce Ayers (D),  Christine Barber (D),  John Barrett (D),  Mike Barrett (D),  Jennifer Benson (D),  Paul Brodeur (D),  Tony Cabral (D),  Tackey Chan (D),  Edward Coppinger (D),  Brendan Crighton (D),  Mark Cusack (D),  Angelo D'Emilia (R),  Mike Day (D),  Diana Dizoglio (D),  Mindy Domb (D),  Paul Donato (D),  Shawn Dooley (R),  Kim Ferguson (R),  Mike Finn (D),  Sean Garballey (D),  Carmine Gentile (D),  Thomas Golden (D),  Carlos González (D),  Ken Gordon (D),  Tami Gouveia (D),  Rich Haggerty (D),  Sheila Harrington (R),  Jim Hawkins (D),  Jonathan Hecht (D),  Natalie Higgins (D),  Kate Hogan (D),  Steven Howitt (R),  Dan Hunt (D),  Brad Jones (R),  Louis Kafka (D),  Hannah Kane (R),  Patrick Kearney (D),  Mary Keefe (D),  John Keenan (D),  John Lawn (D),  David LeBoeuf (D),  Jason Lewis (D),  David Linsky (D),  John Mahoney (D),  Mike Moore (D),  Matt Muratore (R),  James Murphy (D),  Brian Murray (D),  Jim O'Day (D),  Elizabeth Poirier (R),  Denise Provost (D),  Angelo Puppolo (D),  Dave Robertson (D),  Dave Rogers (D),  Tom Stanley (D),  Bruce Tarr (R),  José Tosado (D),  Paul Tucker (D),  Steve Ultrino (D),  John Velis (D),  Tommy Vitolo (D),  Timothy Whelan (R),  Susannah Whipps (I), 

Other Sponsors (1)

Joint Committee on Financial Services (J)

Last Action

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

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Document Type Source Location
State Bill Page https://malegislature.gov/Bills/191/H4518
Bill https://malegislature.gov/Bills/191/H4518.pdf
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