SB 171 – AS AMENDED BY THE SENATE
03/23/11 0795s
2011 SESSION
01/09
SENATE BILL 171
AN ACT relative to prescription drug benefits for the treatment of pain.
SPONSORS: Sen. Carson, Dist 14; Sen. Stiles, Dist 24; Rep. Rosenwald, Hills 22; Rep. Case, Rock 1
COMMITTEE: Health and Human Services
This bill requires health benefit plans providing prescription drug benefits to provide an exception process which shall not take more that 24 hours for coverage for a medically necessary drug prescribed for the treatment of pain.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
03/23/11 0795s
11-0969
01/09
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Eleven
AN ACT relative to prescription drug benefits for the treatment of pain.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Managed Care; Prescription Drugs. Amend RSA 420-J:7-b, II to read as follows:
II. Every health benefit plan that provides prescription drug benefits shall maintain an expeditious exception process, not to exceed 48 hours, by which covered persons may obtain coverage for a medically necessary nonformulary prescription drug. In the case of a medically necessary formulary or nonformulary drug prescribed for the treatment of pain, the exception process shall not exceed 24 hours. The exception process shall begin when the prescribing provider has provided the health benefit plan with the clinical rationale for the exception.
2 Effective Date. This act shall take effect 60 days after its passage.