Colo. Rev. Stat. § 25.5-1-203. Prescription drug information and technical assistance program – expansion: Health Care Policy and Financing Act – Colorado
Status: Enacted Year Enacted: 2008
Calls for the expansion of the perscription drug and technical assistance program, as outlined in Colo. Rev. Stat. sec. 25.5-5-507.
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Colo. Rev. Stat. § 25.5-5-202. Basic services for the categorically needy – optional services: Colorado Medical Assistance Act – Colorado
Status: Enacted Year Enacted: 2006
Outlines the services for which federal financial participation is available. Including, but not limited to, home and community based services, and over the counter medications.
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Colo. Rev. Stat. § 25.5-5-406.1. Required features of statewide managed care system: Colorado Medical Assistance Act – Colorado
Status: Enacted
Outlines the requirements for managed care programs in the state of Colorado. Certain provisions include anti discrimination provisions and maintaining an adequate provider network
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Colo. Rev. Stat. §§ 25.5-5-500.3 through 25.5-5-510: Prescription Drugs – Colorado
Status: Enacted Year Enacted: 2006
Allows medical assistance recipients to receive prescribed medication through mail order at the same copayment amount that the medical assistance recipient would pay through another method.
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Conn. Gen. Stat. § 38a-477d. Information to be made available to consumers [Effective until January 1, 2020]: Health Insurance: In General – Connecticut
Status: Enacted Year Enacted: 2015
States that each insurer, health center, hospital or medical service corporation or other entity shall make coverage exclusions, restrictions on use or quantity of a benefit, how prescription drugs are included, the dollar amount of …
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D.C. Code § 31-3001. Definitions: Diabetes Health Insurance Coverage – District of Columbia
Status: Enacted Year Enacted: 2000
Definitions related to diabetes health insurance coverage in D.C.
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D.C. Code § 31-3002. Payable benefits: Diabetes Health Insurance Coverage – District of Columbia
Status: Enacted Year Enacted: 2000
A health benefit plan shall provide coverage for the equipment, supplies, and other outpatient self-management training and education, including medical nutritional therapy, for the treatment of insulin-dependent diabetes, insulin-using diabetes, gestational diabetes, and non-insulin using …
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D.C. Code § 31-3003. Nondiscrimination: Diabetes Health Insurance Coverage – District of Columbia
Status: Enacted Year Enacted: 2000
Health insurers cannot require different cost-sharing or impose any other conditions onto a beneficiary.
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D.C. Code § 31-3171.09. Health benefit plan certification: Health Benefit Exchange – District of Columbia
Status: Enacted Year Enacted: 2012
To be certified as a qualified health plan, a health benefit plan shall, at a minimum provide the following benefits.
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Del. Code tit. 18, § 3321A through 3324A: Maximum Allowable Cost Pricing for Prescription Drugs – Delaware
Status: Enacted Year Enacted: 2016
To place a drug on a maximum allowable cost list, a pharmacy benefit manager must ensure that the drug meets the following requirements.
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Del. Code tit. 18, § 3335A through 3337A: Prior Authorization of Emergency Prescriptions and Prescriptions for Chronic or Long-Term Conditions – Delaware
Status: Enacted Year Enacted: 2018
A contract between a pharmacy benefits manager and a pharmacy may not prohibit a pharmacy or pharmacist from doing any of the following.
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Del. Code tit. 18, §§ 3371 through 3380: Health Insurance Contracts — Pre-Authorization Transparency – Delaware
Status: Enacted Year Enacted: 2016
A utilization review entity shall make any current pre-authorization requirements and restrictions readily accessible on its website and in written or electronic form upon request for covered persons, health-care providers, and others with access to …
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Del. Code tit. 18, §§ 3581 through 3590: Group and Blanket Health Insurance — Pre-Authorization Transparency – Delaware
Status: Enacted Year Enacted: 2016
A utilization review entity shall make any current pre-authorization requirements and restrictions readily accessible on its website and in written or electronic form upon request for covered persons, health-care providers, and others with access to …
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Del. Code tit. 18, §§ 7301 through 7303: Pharmacy Access Act – Delaware
Status: Enacted Year Enacted: 1994
The General Assembly finds that pharmaceutical services and prescription drugs are an essential service to the people of this State and that the broadest possible access to such services should be mandated and therefore finds …
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Fla. Stat. § 409.91195. Medicaid Pharmaceutical and Therapeutics Committee: Medicaid – Florida
Status: Enacted Year Enacted: 2000
Except for antiretroviral drugs, reimbursement of drugs not included on the Medicaid preferred drug list is subject to prior authorization.
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Ga. Code Ann. § 49-4-141. Definitions: Georgia Medical Assistance Act of 1977 – Georgia
Status: Enacted Year Enacted: 1977
Definitions for Georgia Medical Assistance Act of 1977 (sections 49-4-140 through 49-4-159).
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