Bill > S2386

This bill mandates that health insurance providers, including those offering accident and sickness insurance, nonprofit hospital service plans, nonprofit medical service corporations, and health maintenance organizations, must cover services provided by pharmacists within their lawful scope of practice, including those under a collaborative practice agreement, starting January 1, 2027. This coverage is required if the service would have been covered if performed by a physician, advanced practice nurse, or physician assistant, and includes specific services such as patient evaluation and management, medication therapy management review, immunization education and administration, medication administration, and ordering and evaluating clinical laboratory tests. The bill also requires health plans to include an adequate number of pharmacists in their provider networks, and these benefits generally apply within the network, with exceptions for services not available within the network. Importantly, this legislation is temporary and will expire on January 1, 2031, unless extended by the general assembly.

Health and Social Services

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