summary
Introduced
01/23/2017
01/23/2017
In Committee
05/29/2018
05/29/2018
Crossed Over
Passed
Dead
12/31/2018
12/31/2018
Introduced Session
190th General Court
Bill Summary
For legislation relative to the treatment of epilepsy and seizure disorders. Health Care Financing.
AI Summary
This bill amends Chapter 118E of the General Laws to require the Division of Medical Assistance (MassHealth) and its contracted insurers, health plans, and third-party administrators to establish a step therapy program for prescription medications used to treat epilepsy and seizure disorders. The program can require patients to try and fail on one other medication before the prescribed medication is authorized. However, the prescribing practitioner can request an override of this restriction if the preferred treatment has been ineffective, is expected to be ineffective, or will cause harm to the patient. The step therapy requirement is limited to 30 days, after which the prescribing practitioner can deem the treatment clinically ineffective and the prescribed medication must be covered.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (2)
Last Action
Bill reported favorably by committee and referred to the committee on Senate Ways and Means (on 05/29/2018)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://malegislature.gov/Bills/190/S602 |
| Bill | https://malegislature.gov/Bills/190/S602.pdf |
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