Legislation


AB 1353 – California

Status: Inactive / Dead
Year Introduced: 2017
Link: https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB1353

Health care coverage: prescription drugs: continuity of care: This bill would require a health care service plan and health insurer that provides coverage for outpatient prescription drugs to establish an expeditious process, as described, by which enrollees and insureds, enrollees’ and insureds’ designees, or prescribing providers may request and obtain an exception to any prior authorization process or any other utilization management or medical management practices utilized by the plan or health insurer for medically necessary prescription drugs. The bill would require a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2018, that provides coverage for outpatient prescription drugs to provide coverage, without imposing a prior authorization or step therapy process, or any other reasonable utilization management or medical management practices, for a medically necessary nonformulary drug prescribed for an enrollee or insured if specified conditions are satisfied.


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