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MD HB1423

MD HB1423
Maryland Medical Assistance Program and Health Insurance - Step Therapy, Fail-First Protocols, and Prior Authorization - Prescription Drugs to Treat Serious Mental Illness


summary

Introduced
02/09/2024
In Committee
02/09/2024
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, 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 used to treat certain mental illnesses or a medication-induced movement disorder associated with the treatment of a serious mental illness. The bill also establishes a process for requesting exceptions to step therapy or fail-first protocols. 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 bill, and provides for the possible abrogation of Section 1 of the bill if the cost increase exceeds $2 million.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

Withdrawn by Sponsor (on 03/04/2024)

Bill Topics

Health
  • ‐ Health Insurance Reform
  • ‐ Mental Illness, Mental Retardation, and Deinstitutionalization

bill text


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