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Bill > S686


MA S686

Promoting continuity of care for multiple sclerosis treatment


summary

Introduced
03/29/2021
In Committee
02/17/2022
Crossed Over
Passed
Dead
12/31/2022

Introduced Session

192nd General Court

Bill Summary

For legislation to promote continuity of care for multiple sclerosis treatment. Financial Services.

AI Summary

This bill requires health insurance plans in Massachusetts, including the state's Group Insurance Commission, to provide coverage for multiple sclerosis (MS) drugs that an individual has already been prescribed and taking. Prior to receiving documentation of the individual's MS diagnosis and stabilization on the drug, the plan must provide a one-time 30-day transition fill or infusion of the drug. The bill also specifies that the coverage for these MS drugs cannot be subject to higher deductibles, coinsurance, or out-of-pocket limits than other MS drugs covered by the plan. The transition period does not apply to new MS drugs not yet reviewed by the plan's Pharmacy and Therapeutics committee, sample products, or drugs prescribed inconsistently with FDA indications.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (16)

Last Action

Accompanied H1089 (on 05/05/2022)

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