5794-S AMS DHIN S4497.2
SSB 5794 - S AMD 1095
By Senator Dhingra
ADOPTED 02/11/2022
On page 1, beginning on line 14, after "refill of" strike "a prescription drug used for the assessment and treatment of a mental health condition" and insert "an antipsychotic, antidepressant, or antiepileptic drug"
Beginning on page 1, line 21, after "year" strike all material through "section" on page 2, line 2
EFFECT: Removes requirement for health carriers that all drugs used for the treatment of mental health condition be refilled without substitution or increased cost-sharing and instead enumerates the specific drug classes that must be refilled without substitution or increased cost-sharing, aligning requirements for health carriers with existing requirements for state purchased health care programs.
Clarifies that the bill does not restrict a plan from adding new drugs to its formulary during a plan year.
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