Revision: Dec. 8, 2017, 11:55 a.m.
SB 332 - AS INTRODUCED
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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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.
This bill is the result of the committee established in 2017, 81:1.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
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:
1 New Section; Medication Synchronization. Amend RSA 415 by inserting after section 26 the following new section:
415:27 Medication Synchronization. An individual or group health insurance policy providing prescription drug coverage in New Hampshire shall permit and apply a prorated daily cost-sharing rate to prescriptions that are dispensed by a network pharmacy for a partial supply if the prescriber or pharmacist determines the fill or refill to be in the best interest of the patient and the patient requests or agrees to a partial supply for the purpose of synchronizing the patient's medications.
II. No individual or group health insurance policy providing prescription drug coverage shall deny coverage for the dispensing of a medication that is dispensed by a network pharmacy on the basis that the dispensing is for a partial supply if the prescriber or pharmacist determines the fill or refill to be in the best interest of the patient and the patient requests or agrees to a partial supply for the purpose of synchronizing the patient's medications. The individual or group health plan shall allow a pharmacy to override any denial codes indicating that a prescription is being refilled too soon for the purposes of medication synchronization.
III. No individual or group health insurance policy providing prescription drug coverage shall use payment structures incorporating prorated dispensing fees. Dispensing fees for partially filled or refilled prescriptions shall be paid in full for each prescription dispensed, regardless of any prorated copayment for the beneficiary or fee paid for alignment services.
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 policy providing prescription drug coverage in New Hampshire shall permit and apply a prorated daily cost-sharing rate to prescriptions that are dispensed by a network pharmacy for a partial supply if the prescriber or pharmacist determines the fill or refill to be in the best interest of the patient and the patient requests or agrees to a partial supply for the purpose of synchronizing the patient's medications.
II. No individual or group health insurance policy providing prescription drug coverage shall deny coverage for the dispensing of a medication that is dispensed by a network pharmacy on the basis that the dispensing is for a partial supply if the prescriber or pharmacist determines the fill or refill to be in the best interest of the patient and the patient requests or agrees to a partial supply for the purpose of synchronizing the patient's medications. The individual or group health plan shall allow a pharmacy to override any denial codes indicating that a prescription is being refilled too soon for the purposes of medication synchronization.
III. No individual or group health insurance policy providing prescription drug coverage shall use payment structures incorporating prorated dispensing fees. Dispensing fees for partially filled or refilled prescriptions shall be paid in full for each prescription dispensed, regardless of any prorated copayment for the beneficiary or fee paid for alignment services.
3 Effective Date. This act shall take effect January 1, 2019.