Bill > S362

This bill aims to improve prescription drug coverage for seniors and disabled individuals by modifying existing programs. For those enrolled in the subsidized catastrophic prescription drug insurance program and eligible for Medicare prescription drug coverage, the bill ensures coverage for a one-time 30-day supply of prescribed medications annually, with co-pays and deductibles waived for this supply. If this 30-day supply is exhausted, a one-time 72-hour supply will be provided free of charge, both of which are available when a pharmacist cannot bill a Medicare plan. Similarly, MassHealth, a state program for low-income individuals, will provide a one-time 30-day supply of medications for beneficiaries also eligible for Medicare prescription drug coverage, with co-pays and deductibles applying to this supply. If this 30-day supply is used up, MassHealth will cover a one-time 72-hour supply free of charge, with both supplies available when Medicare billing isn't possible. Furthermore, MassHealth will cover any co-pays or deductibles charged by Medicare Part D plans for beneficiaries whose MassHealth co-pay would have been zero, or will cover the excess amount if the Medicare co-pay exceeds what MassHealth would charge. The bill also mandates that MassHealth and the subsidized catastrophic prescription drug program cover medications excluded by Medicare Part D but would otherwise be covered by these programs. Finally, Prescription Advantage, a state program, will help pay for Medicare Part D premiums for eligible low-income individuals, provided federal law allows.