HB564 (2015) Detail

Relative to prior authorization for certain prescription drugs.


CHAPTER 199

HB 564-FN – FINAL VERSION

12Mar2015… 0312h

05/21/2015 1710s

2015 SESSION

15-0652

01/05

HOUSE BILL 564-FN

AN ACT relative to prior authorization for certain prescription drugs.

SPONSORS: Rep. Sherman, Rock 24; Rep. Snow, Hills 42; Sen. Feltes, Dist 15; Sen. Stiles, Dist?24

COMMITTEE: Health, Human Services and Elderly Affairs

AMENDED ANALYSIS

This bill declares that a managed care organization offering prescription drug benefits to Medicaid recipients shall suspend prior authorization requirements for a community mental health program on drugs used to treat mental illnesses.

This bill also requires the department of health and human services to make certain reports to the oversight committee on health and human services.

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

12Mar2015… 0312h

05/21/2015 1710s

15-0652

01/05

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Fifteen

AN ACT relative to prior authorization for certain prescription drugs.

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

199:1 New Subparagraph; Medicaid Managed Care. Amend RSA 126-A:5, XIX by inserting after subparagraph (d) the following new subparagraph:

(e) Thirty days after the effective date of this subparagraph, a managed care organization that provides prescription drug benefits to a Medicaid recipient shall suspend prior authorization requirements for a community mental health program, as defined under RSA 135-C:2, IV on medication used to treat severe mental illness such as schizophrenia, depression, or bipolar disorder. Medications shall be available under this subparagraph without restriction except as otherwise approved by the department.

199:2 Department of Health and Human Services; Prior Authorization for Certain Prescription Drugs; Oversight Committee on Health and Human Services; Reports Required. The department of health and human services in collaboration with the managed care organizations and community mental health programs shall provide an initial report on or before July 31, 2015 to the oversight committee on health and human services, established in RSA 126-A:13. The report shall focus on a detailed clinical review of policies and procedures that govern the administration of the pharmacy benefit. The report shall identify the necessary revisions required to promote the behavioral health and well being of New Hampshire’s citizens being served under Medicaid managed care. Progress reports shall be provided by the department to the oversight committee on or before August 31, 2015 and September 30, 2015, respectively. A final report including findings and any recommendations for proposed legislation shall be provided by the department to the oversight committee on or before November 1, 2015.

199:3 Repeal. RSA 126-A:5, XIX(e), relative to suspension of certain prior authorization requirements, is repealed.

199:4 Effective Date.

I. Section 3 of this act shall take effect June 30, 2016.

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

Approved: July 6, 2015

Effective Date: I. Section 3 shall take effect June 30, 2016.

II. Remainder shall take effect July 6, 2015.