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TN HB1198

TN HB1198
AN ACT to amend Tennessee Code Annotated, Title 4; Title 53; Title 56; Title 68 and Title 71, relative to biosimilar medicine.


summary

Introduced
02/06/2025
In Committee
03/19/2025
Crossed Over
03/31/2025
Passed
04/02/2025
Dead
Signed/Enacted/Adopted
04/28/2025

Introduced Session

114th General Assembly

Bill Summary

As enacted, adds mandating the use of biosimilar drugs as a cost-saving measure the bureau of TennCare may implement; adds that a health carrier, health benefit plan, or utilization review organization may require a patient to try a biosimilar product prior to providing coverage for the equivalent branded prescription drug; requires the TennCare pharmacy advisory committee to consider as a factor the use of biosimilar drugs in the committee's recommendation to the bureau of TennCare on any drugs to be added to the state preferred drug list. - Amends TCA Title 4; Title 53; Title 56; Title 68 and Title 71.

AI Summary

This bill addresses the use of biosimilar drugs in Tennessee's healthcare system by making several key modifications to existing state laws. The bill defines a "biosimilar" as a biological product licensed under federal law that is not listed as discontinued in the FDA's "Purple Book" database. It allows health carriers, health benefit plans, and utilization review organizations to require patients to try a biosimilar or interchangeable biological product before covering the equivalent branded prescription drug, which is intended to help reduce healthcare costs. The legislation also updates various state codes to explicitly include biosimilars in considerations for drug recommendations, such as in the TennCare pharmacy advisory committee's review process. Specifically, the bill amends multiple sections of Tennessee's legal code to integrate biosimilars into existing healthcare and pharmacy regulations, giving healthcare providers and insurance companies more flexibility in prescribing and covering these potentially more affordable alternative medications. The changes aim to potentially lower healthcare expenses by promoting the use of biosimilar drugs, which are highly similar to and have the same clinical effect as brand-name biological medications but typically at a lower cost.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Effective date(s) 04/11/2025 (on 04/28/2025)

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