SB332 (2018) Detail

Relative to medication synchronization.


CHAPTER 103

SB 332 - FINAL VERSION

 

02/15/2018   0418s

2018 SESSION

18-2723

01/04

 

SENATE BILL 332

 

AN ACT relative to medication synchronization.

 

SPONSORS: Sen. Gray, Dist 6; Sen. Carson, Dist 14; Sen. Soucy, Dist 18; Sen. Fuller Clark, Dist 21; Sen. Hennessey, Dist 5; Rep. Kotowski, Merr. 24; Rep. LeBrun, Hills. 32; Rep. J. Edwards, Rock. 4; Rep. M. MacKay, Hills. 30; Rep. Bove, Rock. 5

 

COMMITTEE: Health and Human Services

 

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AMENDED ANALYSIS

 

This bill requires insurers offering health insurance policies with prescription drug coverage to allow covered persons to synchronize the dispensing dates of their prescription drugs.

 

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

02/15/2018   0418s 18-2723

01/04

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Eighteen

 

AN ACT relative to medication synchronization.

 

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

 

103:1  New Section; Medication Synchronization.  Amend RSA 415 by inserting after section 26 the following new section:

415:27  Medication Synchronization.

I.  An individual or group health insurance plan or policy providing prescription drug coverage in New Hampshire, shall permit and apply a prorated, daily cost-sharing rate to covered prescriptions for a chronic condition that are dispensed by an in-network pharmacy for less than a 30-day supply if the prescriber and pharmacist determine the fill or refill to be in the best interest of the patient for the management or treatment of a chronic, long-term care condition and the patient requests or agrees to less than a 30-day supply for the purpose of synchronizing the patient's medications.  For the purposes of this paragraph, the insured's or enrollee's maintenance prescription drugs to be synchronized shall meet all of the following requirements:

(a)  They are covered by the policy, certificate, or contract described in this chapter.

(b)  They are used for the management and treatment of a chronic, long-term care condition and have authorized refills that remain available to the insured or enrollee.

(c)  Except as otherwise provided in this paragraph, they are not a controlled substance included in schedules II-V.

(d)  They meet all utilization management requirements specific to the maintenance-prescription drugs at the time of the request to synchronize the insured's or enrollee's multiple, maintenance-prescription drugs.

(e)  They are of a formulation that can be effectively split over required short-fill periods to achieve synchronization.

(f)  They do not have quantity limits or dose-optimization criteria or requirements that will be violated when synchronizing the insured's or enrollee's multiple, maintenance-prescription drugs.

II.  The plan or policy described in paragraph I shall apply a prorated, daily cost-sharing rate for maintenance-prescription drugs that are dispensed by an in-network pharmacy for the purpose of synchronizing the insured's or enrollee's multiple, maintenance-prescription drugs.

III.  The plan or policy described in paragraph I shall not reimburse or pay any dispensing fee that is prorated. The insurer shall only pay or reimburse a dispensing fee that is based on each maintenance-prescription drug dispensed.

IV.  A synchronization shall only occur once per year per maintenance-prescription drug.

103:2  New Section; Medication Synchronization; Managed Care Plan.  Amend RSA 420-J by inserting after section 18 the following new section:

420-J:19  Medication Synchronization.

I.  An individual or group health insurance plan or policy providing prescription drug coverage in New Hampshire, shall permit and apply a prorated, daily cost-sharing rate to covered prescriptions for a chronic condition that are dispensed by an in-network pharmacy for less than a 30-day supply if the prescriber and pharmacist determine the fill or refill to be in the best interest of the patient for the management or treatment of a chronic, long-term care condition and the patient requests or agrees to less than a 30-day supply for the purpose of synchronizing the patient's medications.  For the purposes of this paragraph, the insured's or enrollee's maintenance prescription drugs to be synchronized shall meet all of the following requirements:

(a)  They are covered by the policy, certificate, or contract described in this chapter.

(b)  They are used for the management and treatment of a chronic, long-term care condition and have authorized refills that remain available to the insured or enrollee.

(c)  Except as otherwise provided in this paragraph, they are not a controlled substance included in schedules II-V.

(d)  They meet all utilization management requirements specific to the maintenance-prescription drugs at the time of the request to synchronize the insured's or enrollee's multiple, maintenance-prescription drugs.

(e)  They are of a formulation that can be effectively split over required short-fill periods to achieve synchronization.

(f)  They do not have quantity limits or dose-optimization criteria or requirements that will be violated when synchronizing the insured's or enrollee's multiple, maintenance-prescription drugs.

II.  The plan or policy described in paragraph I shall apply a prorated, daily cost-sharing rate for maintenance-prescription drugs that are dispensed by an in-network pharmacy for the purpose of synchronizing the insured's or enrollee's multiple, maintenance-prescription drugs.

III.  The plan or policy described in paragraph I shall not reimburse or pay any dispensing fee that is prorated. The insurer shall only pay or reimburse a dispensing fee that is based on each maintenance-prescription drug dispensed.

IV.  A synchronization shall only occur once per year per maintenance-prescription drug.

103:3  Effective Date.  This act shall take effect January 1, 2019.

 

Approved: May 25, 2018

Effective Date: January 01, 2019

 

 

Links

SB332 at GenCourtMobile

Action Dates

Date Body Type
Jan. 9, 2018 Senate Hearing
Feb. 15, 2018 Senate Floor Vote
March 27, 2018 House Hearing
April 11, 2018 House Exec Session
House Floor Vote
April 19, 2018 House Floor Vote

Bill Text Revisions

SB332 Revision: 4023 Date: June 7, 2018, 10:24 a.m.
SB332 Revision: 3547 Date: April 20, 2018, 9:25 a.m.
SB332 Revision: 3077 Date: March 12, 2018, 9:33 a.m.
SB332 Revision: 2703 Date: Dec. 8, 2017, 11:55 a.m.

Docket

Date Status
Jan. 3, 2018 To Be Introduced 01/03/2018 and Referred to Health and Human Services; SJ 1
Jan. 9, 2018 Hearing: 01/09/2018, Room 101, LOB, 01:00 pm; SC 48
Feb. 15, 2018 Committee Report: Ought to Pass with Amendment # 2018-0418s, 02/15/2018; Vote 5-0; CC; SC 7
Feb. 15, 2018 Committee Amendment # 2018-0418s, AA, VV; 02/15/2018; SJ 4
Feb. 15, 2018 Ought to Pass with Amendment 2018-0418s, MA, VV; OT3rdg; 02/15/2018; SJ 4
March 7, 2018 Introduced 03/07/2018 and referred to Commerce and Consumer Affairs HJ 7 P. 50
March 27, 2018 Public Hearing: 03/27/2018 10:30 AM LOB 302
April 4, 2018 Subcommittee Work Session: 04/04/2018 01:15 PM LOB 302
April 11, 2018 Executive Session: 04/11/2018 01:15 PM LOB 302
Committee Report: Ought to Pass (Vote 19-0; CC)
April 19, 2018 Committee Report: Ought to Pass for 04/19/2018 (Vote 19-0; CC) HC 15 P. 4
April 19, 2018 Ought to Pass: MA VV 04/19/2018 HJ 13 P. 3
April 26, 2018 Enrolled 04/26/2018
April 26, 2018 Enrolled (In recess 04/26/2018); SJ 15
May 25, 2018 Signed by the Governor on 05/25/2018; Chapter 0103; Effective 01/01/2019
May 25, 2018 Signed by the Governor on 05/25/2018; Chapter 0103; Effective 01/01/2019