summary
Introduced
04/21/2025
04/21/2025
In Committee
04/30/2025
04/30/2025
Crossed Over
05/12/2025
05/12/2025
Passed
05/29/2025
05/29/2025
Dead
Signed/Enacted/Adopted
05/29/2025
05/29/2025
Introduced Session
2025 Regular Session
Bill Summary
CONCERNING AUTHORIZATION FOR A HEALTH-CARE PROVIDER TO ADJUST A CHRONIC MAINTENANCE DRUG PRESCRIPTION WITHOUT PRIOR AUTHORIZATION FROM AN INSURANCE CARRIER.
AI Summary
This bill allows healthcare providers to adjust the dose or frequency of certain chronic maintenance prescription drugs without requiring prior authorization from an insurance carrier or pharmacy benefit manager (PBM), under specific conditions. Specifically, the prescription must be for a chronic maintenance drug that has previously been approved for coverage, cannot be an opioid or controlled substance, and the dose adjustment can only occur up to two times without prior authorization. The adjustment must be consistent with evidence-based guidelines and must be for the same chronic or debilitating disease for which the drug was originally prescribed. This change aims to provide healthcare providers more flexibility in managing patients' ongoing medical treatments by reducing administrative barriers and allowing more immediate modifications to medication regimens when medically appropriate.
Committee Categories
Health and Social Services
Sponsors (53)
Carlos Barron (R)*,
Mary Bradfield (R)*,
Chad Clifford (D)*,
James Coleman (D)*,
Lisa Cutter (D)*,
Lori Garcia Sander (R)*,
Julie Gonzales (D)*,
Nick Hinrichsen (D)*,
Iman Jodeh (D)*,
Dusty Johnson (R)*,
Junie Joseph (D)*,
Cathy Kipp (D)*,
Barbara Kirkmeyer (R)*,
Chris Kolker (D)*,
Sheila Lieder (D)*,
Janice Marchman (D)*,
Dafna Michaelson Jenet (D)*,
Dylan Roberts (D)*,
Robert Rodriguez (D)*,
Manny Rutinel (D)*,
Katie Stewart (D)*,
Tom Sullivan (D)*,
Rick Taggart (R)*,
Brianna Titone (D)*,
Katie Wallace (D)*,
Michael Weissman (D)*,
Jenny Willford (D)*,
Faith Winter (D)*,
Judith Amabile (D),
Jennifer Bacon (D),
Matt Ball (D),
Shannon Bird (D),
Andrew Boesenecker (D),
Kyle Brown (D),
John Carson (R),
Marc Catlin (R),
Monica Duran (D),
Lisa Frizell (R),
Eliza Hamrick (D),
Mandy Lindsay (D),
Larry Liston (R),
Meghan Lukens (D),
Javier Mabrey (D),
Julie McCluskie (D),
Karen McCormick (D),
Amy Paschal (D),
Byron Pelton (R),
Rod Pelton (R),
Naquetta Ricks (D),
Emily Sirota (D),
Lesley Smith (D),
Marc Snyder (D),
Tammy Story (D),
Last Action
Governor Signed (on 05/29/2025)
Official Document
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