Bill > SB544

This bill amends existing managed care laws concerning prescription drug benefits, requiring health plans to provide at least 60 days' advance written notice to individuals before removing a drug from their formulary, unless the drug is deemed unsafe by the Food and Drug Administration, and mandates that any denial of an exception request for a medically necessary non-formulary drug be considered an adverse determination, meaning it's a formal decision that can be appealed. Additionally, health plans must now maintain and provide to the commissioner upon request detailed records of their drug formularies, including any changes made and the reasons for them, as well as their complete maximum allowable cost lists for pharmacies and documentation of any changes to those lists.