Bill Text - SB420 (2010)

(New Title) relative to the use of mail-order pharmacies for prescription drug benefits under accident and health insurance policies and plans, and establishing a committee to study pharmacy benefits management for injured workers covered by the workers’ compensation law.


Revision: May 13, 2010, midnight

SB 420 – AS AMENDED BY THE HOUSE

03/24/10 1158s

12May2010… 1501h

2010 SESSION

10-2737

10/09

SENATE BILL 420

AN ACT relative to the use of pharmacies for prescription drug benefits under accident and health insurance policies and plans, and establishing a committee to study pharmacy benefits management for injured workers covered by the workers’ compensation law.

SPONSORS: Sen. Cilley, Dist 6; Rep. Craig, Hills 9; Rep. Hatch, Coos 3; Rep. S. Price, Straf 3

COMMITTEE: Commerce, Labor and Consumer Protection

AMENDED ANALYSIS

This bill requires that insurers providing prescription drug benefits under accident and health insurance policies and plans allow patients to use any pharmacy in their insurance plan network. The bill also establishes a committee to study pharmacy benefits management for injured workers covered by the workers’ compensation law.

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

03/24/10 1158s

12May2010… 1501h

10-2737

10/09

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Ten

AN ACT relative to the use of pharmacies for prescription drug benefits under accident and health insurance policies and plans, and establishing a committee to study pharmacy benefits management for injured workers covered by the workers’ compensation law.

Be it Enacted by the Senate and House of Representatives in General Court convened:

1 New Section; Standards for Accident and Health Insurance; Prescription Drug Benefits; Pharmacies. Amend RSA 415-A by inserting after section 5-a the following new section:

415-A:5-b Prescription Drug Benefits; Pharmacies. Subject to the terms and conditions of the patient’s insurance plan, the patient shall have access to any pharmacy in his or her insurance plan network.

2 Study Committee Established; Meetings; Report.

I. There is established a committee to study pharmacy benefits management for injured workers covered by the workers’ compensation law.

II. The members of the committee shall be as follows:

(a) Three members of the house of representatives, appointed by the speaker of the house of representatives.

(b) One member of the senate, appointed by the president of the senate.

III. Members of the committee shall receive mileage at the legislative rate when attending to the duties of the committee.

IV. The committee shall study providing medications through the use of a pharmacy benefits management system for injured workers covered by the workers’ compensation law, specifically evaluating issues concerning the dispensing of narcotics, a review of formularies, providing exceptions for “first fill” prescription needs, accreditation, and the involvement of employee utilization.

V. The members of the study committee shall elect a chairperson from among the members. The first meeting of the committee shall be called by the senate member. The first meeting of the committee shall be held within 45 days of the effective date of this section. Three members of the committee shall constitute a quorum.

VI. The committee shall report its findings and any recommendations for proposed legislation to the president of the senate, the speaker of the house of representatives, the senate clerk, the house clerk, the governor, and the state library on or before November 1, 2010.

3 Effective Date.

I. Section 1 of this act shall take effect 60 days after its passage.

II. The remainder of this act shall take effect upon its passage.