summary
Introduced
06/28/2022
06/28/2022
In Committee
07/28/2022
07/28/2022
Crossed Over
07/26/2022
07/26/2022
Passed
10/24/2022
10/24/2022
Dead
Signed/Enacted/Adopted
11/01/2022
11/01/2022
Introduced Session
192nd General Court
Bill Summary
Relative to step therapy and patient safety
AI Summary
This bill aims to improve patient safety and access to prescribed medications by regulating the use of step therapy protocols by health insurance providers in Massachusetts. Key provisions include:
- Requiring that clinical review criteria for step therapy protocols not mandate the use of medications that are unlikely to be clinically effective, and allowing patients and their providers to request exceptions to step therapy requirements under certain conditions.
- Mandating that insurance providers have a continuity of coverage policy to ensure patients can access their prescribed medications without delay while an exception request is reviewed.
- Establishing a commission to study the impact of step therapy protocols and the effectiveness of the new exception process, with the commission required to report its findings and recommendations every two years.
- Setting deadlines for the implementation of the new regulations and the convening of the commission.
Committee Categories
Budget and Finance
Sponsors (52)
Ruth Balser (D),
John Barrett (D),
Mark Cusack (D),
Josh Cutler (D),
Angelo D'Emilia (R),
Mike Day (D),
Marjorie Decker (D),
David DeCoste (R),
Marcos Devers (D),
Carol Doherty (D),
Mindy Domb (D),
Pat Duffy (D),
Tricia Farley-Bouvier (D),
Brandy Fluker Oakley (D),
Bill Galvin (D),
Carmine Gentile (D),
Ken Gordon (D),
Tami Gouveia (D),
Danielle Gregoire (D),
Rich Haggerty (D),
Jim Hawkins (D),
Natalie Higgins (D),
Vanna Howard (D),
Steven Howitt (R),
Brad Jones (R),
Hannah Kane (R),
Patrick Kearney (D),
John Lawn (D),
Jack Lewis (D),
Jason Lewis (D),
David Linsky (D),
Elizabeth Malia (D),
Joe McGonagle (D),
Matt Muratore (R),
Brian Murray (D),
Tram Nguyen (D),
Patrick O'Connor (R),
Kelly Pease (R),
Alice Peisch (D),
Ted Philips (D),
Dave Robertson (D),
Dave Rogers (D),
Jeff Roy (D),
Danny Ryan (D),
Lindsay Sabadosa (D),
Jon Santiago (D),
Adam Scanlon (D),
Dan Sena (D),
Tom Stanley (D),
Walter Timilty (D),
Paul Tucker (D),
Steve Ultrino (D),
Other Sponsors (1)
House Committee on Ways and Means (H)
Last Action
Signed by the Governor, Chapter 254 of the Acts of 2022 (on 11/01/2022)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
---|---|
State Bill Page | https://malegislature.gov/Bills/192/H4929 |
Bill | https://malegislature.gov/Bills/192/H4929.pdf |
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