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MD SB990

MD SB990
Maryland Medical Assistance Program and Health Insurance - Step Therapy, Fail-First Protocols, and Prior Authorization - Prescription Drugs to Treat Serious Mental Illness


summary

Introduced
02/02/2024
In Committee
02/02/2024
Crossed Over
Passed
Dead
04/08/2024

Introduced Session

2024 Regular Session

Bill Summary

Prohibiting the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations from applying a prior authorization requirement, step therapy protocol, or fail-first protocol for drugs to treat certain mental illnesses or a medication-induced movement disorder associated with the treatment of a serious mental illness.

AI Summary

This bill prohibits the Maryland Medical Assistance Program and certain insurers, health plans, and managed care organizations from applying prior authorization requirements, step therapy protocols, or fail-first protocols for prescription drugs used to treat specific mental health conditions, including bipolar disorder, schizophrenia, major depression, post-traumatic stress disorder, and medication-induced movement disorders associated with serious mental illness. The bill also establishes a process for requesting and granting exceptions to step therapy protocols under certain conditions. Additionally, the bill requires the Maryland Department of Health to report on any cost increases to the Maryland Medical Assistance Program resulting from the implementation of this act, and includes a provision to potentially repeal the relevant section of the act if the cost increase exceeds $2 million.

Committee Categories

Budget and Finance

Sponsors (1)

Last Action

Senate Finance Hearing (13:00:00 3/6/2024 ) (on 03/06/2024)

Bill Topics

Health
  • ‐ Health Insurance Reform
  • ‐ Mental Illness, Mental Retardation, and Deinstitutionalization
  • ‐ Regulation of Drug Industry and Pharmacies

bill text


bill summary

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bill summary

Document Type Source Location Created
State Bill Page https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/SB0990?ys=2024RS 02/06/2024
BillText https://mgaleg.maryland.gov/2024RS/bills/sb/sb0990f.pdf 02/06/2024
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