H 999 (see companion bill S 605) – Massachusetts
Introduced: 2023 Status: In Process
An Act empowering health care consumers. Requires notices in the evidence of coverage and disclosure form to enrollees regarding whether the plan uses a formulary. The notice shall include an explanation of what a formulary …
Haw. Rev. Stat. § 329-38. Prescriptions: Regulation of Manufacture, Distribution, Prescription, and Dispensing of Controlled Substances – Hawaii
Status: Enacted Year Enacted: 1972
(a) No controlled substance in schedule II may be dispensed without a written prescription of a practitioner, except: (1) In the case of an emergency situation, a pharmacist may dispense a controlled substance listed in …
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Haw. Rev. Stat. §§ 328-91 through 328-106: Drug Product Selection – Hawaii
Status: Enacted Year Enacted: 1980
A pharmacy benefit manager that reimburses a contracting pharmacy for a drug on a maximum allowable cost basis shall comply with the requirements of this section. (b) The pharmacy benefit manager shall include the following …
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Haw. Rev. Stat. §§ 346-51 through 346-70: Specific Provisions Covering Public Assistance and Child Welfare Services – Hawaii
Status: Enacted Year Enacted: 1998
The State’s Medicaid managed care and fee-for-service programs shall not deny coverage for any service provided through telehealth that would be covered if the service were provided through in-person consultation between a patient and a …
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Haw. Rev. Stat. §§ 431R-1 through 431R-7: Prescription Drug Benefits – Hawaii
Status: Enacted Year Enacted: 2013
The insurance commissioner shall review and examine records supporting the accuracy and completeness of the report and, no later than ninety days after the receipt of the report, shall make available to a purchaser of …
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HB 0677 (see companion bill SB 1310) – Tennessee
Introduced: 2021 Status: Enacted
As introduced, requires insurer step therapy protocols for prescription drug coverage to adhere to certain guidelines; requires insurers to provide an exception process for step therapy protocols that meets certain criteria; requires the department of …
HB 105 – Delaware
Introduced: 2019 Status: Enacted Year Enacted: 2019
Step therapy protocols are a mechanism by which health insurance companies require patients to try one or more prescriptions drugs before coverage is provided for the actual drug prescribed by the patients health care provider. …
HB 1119 – Maryland
Introduced: 2020 Status: Inactive / Dead
Pharmacists – Required Notification and Authorized Substitution – Lower–Cost Drug or Device Product. Requiring a pharmacist, or the pharmacist’s designee who is under certain supervision, to inform a certain consumer of the availability of certain …
HB 1183 – Florida
Introduced: 2022 Status: Inactive / Dead
Prohibits renewal of permits for prescription drug manufacturers & wholesale distributors unless specified requirements are met; provides reporting requirements for entities that engage in wholesale distributions of prescription drugs; provides requirements for notifications by manufacturers …
HB 1183 – Colorado
Introduced: 2023 Status: Enacted
Concerning medicaid prior authorization requests for a step-therapy exception and, in connection therewith, making an appropriation.
HB 119 – Louisiana
Introduced: 2019 Status: Enacted
Provides relative to the denial of a prescription based upon step therapy or fail first protocols or nonformulary status
HB 1194 – Pennsylvania
Introduced: 2019 Status: Inactive / Dead
An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in quality healthcare accountability and protection, further providing for definitions, for responsibilities of managed care plans, …
HB 1283 (see companion bill SB 1113) – Texas
Introduced: 2023 Status: Enacted
Relating to prescription drug formularies applicable to the Medicaid managed care program.
HB 1330 – Mississippi
Introduced: 2019 Status: Inactive / Dead
An Act To Amend Section 43-13-117, Mississippi Code Of 1972, To Revise The Calculation Of Medicaid Reimbursement For Durable Medical Equipment And Medical Supplies, And Exempt Durable Medical Equipment And Medical Supplies From The 5% …
HB 1337 (see companion bill SB 452) – Texas
Introduced: 2023 Status: Enacted
Relating to step therapy protocols required by health benefit plans for coverage of prescription drugs for serious mental illnesses.
HB 1359 (see companion bill SB 952) – Maryland
Introduced: 2020 Status: Inactive / Dead
Health Insurance – Requirements for Establishing Step Therapy Protocol and Requesting Exceptions. Repealing certain prohibitions on certain insurers, nonprofit health service plans, and health maintenance organizations regarding the imposition of step therapy or fail-first protocols; …