Revision: Jan. 14, 2020, 4:17 p.m.
SB 691 - AS INTRODUCED
2020 SESSION
20-2868
01/10
SENATE BILL 691
AN ACT relative to prior authorization for prescription drug coverage.
SPONSORS: Sen. Rosenwald, Dist 13; Sen. Cavanaugh, Dist 16; Sen. Fuller Clark, Dist 21; Sen. Hennessey, Dist 5; Sen. Sherman, Dist 24; Rep. Muscatel, Graf. 12; Rep. Indruk, Hills. 34; Rep. Marsh, Carr. 8
COMMITTEE: Commerce
-----------------------------------------------------------------
ANALYSIS
This bill clarifies the procedure for prior authorization for prescription drugs on the formulary under the managed care law.
This bill is a request of the insurance department.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
20-2868
01/10
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty
AN ACT relative to prior authorization for prescription drug coverage.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Paragraph; Managed Care Law; Prescription Drugs. Amend RSA 420-J:7-b by inserting after paragraph II-a the following new paragraph:
II-b. Every health benefit plan that provides prescription drug benefits and requires prior authorization for covered drugs in the formulary shall respond to a prior authorization request within 48 hours. The prior authorization process shall begin when the prescribing provider has submitted a request to the health carrier or pharmacy benefits manager. A prescription that requires a prior authorization for coverage shall be considered approved if the prior authorization process exceeds 48 hours.
2 Effective Date. This act shall take effect 60 days after its passage.