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Bill > H1089

MA H1089

Promoting continuity of care for Multiple Sclerosis treatment

summary

Introduced
03/29/2021
In Committee
05/05/2022
Crossed Over
Passed
Dead
12/31/2022

Introduced Session

192nd General Court

Bill Summary

Relative to coverage for disease modifying prescription drugs for treatment of multiple sclerosis. Financial Services.

AI Summary

This bill requires health insurance plans in Massachusetts to provide coverage for disease-modifying drugs for the treatment of multiple sclerosis (MS). Specifically, it mandates that plans cover the MS drugs that a person has already been prescribed and taking, provided the prescribing provider confirms the person has been diagnosed with MS and is stabilized or has achieved a positive clinical response on the drug. The bill also requires a one-time 30-day transition fill or infusion for members who are newly enrolled in the plan, to ensure continuity of care. These coverage requirements apply to state employee health plans, private insurance plans, and health maintenance organizations. The transition period does not apply to new MS drugs not yet reviewed by the plan's Pharmacy and Therapeutics committee, or to drugs prescribed off-label.

Committee Categories

Budget and Finance, Business and Industry, Health and Social Services

Sponsors (38)

Sean Garballey (D)*,  John Lawn (D)*,  Brian Ashe (D),  Mike Barrett (D),  Tackey Chan (D),  Angelo D'Emilia (R),  David DeCoste (R),  Diana Dizoglio (D),  Mindy Domb (D),  Carolyn Dykema (D),  Jamie Eldridge (D),  Brandy Fluker Oakley (D),  Bill Galvin (D),  Carmine Gentile (D),  Jessica Giannino (D),  Carlos González (D),  Tami Gouveia (D),  Rich Haggerty (D),  Vanna Howard (D),  Steven Howitt (R),  Brad Jones (R),  Hannah Kane (R),  John Keenan (D),  David Linsky (D),  Jay Livingstone (D),  James Murphy (D),  Brian Murray (D),  Jim O'Day (D),  Alice Peisch (D),  Ted Philips (D),  Dave Robertson (D),  Dave Rogers (D),  Lindsay Sabadosa (D),  Jon Santiago (D),  Adam Scanlon (D),  Steve Ultrino (D),  Erika Uyterhoeven (D),  Andy Vargas (D), 

Last Action

No further action taken (on 01/03/2023)
(1 Companion Bills)

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Document Type Source Location
State Bill Page https://malegislature.gov/Bills/192/H1089
Bill https://malegislature.gov/Bills/192/H1089.pdf
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