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AZ SB1395

Bill

Status

Introduced

1/26/2022

Primary Sponsor

Thomas Shope

Click for details

Origin

Senate

Fifty-fifth Legislature - Second Regular Session (2022)

AI Summary

  • Requires health care services plans to cover prescribed drugs for treating serious mental illness without prior authorization if the drug is a covered benefit, medically necessary, does not exceed FDA-recommended dosages, and the prescriber performs annual reviews of efficacy and health status.

  • Defines "serious mental illness" as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders that results in serious functional impairment and substantially interferes with one or more major life activities.

  • Applies the prior authorization exemption to both private health care services plans under section 20-3402 and Arizona Health Care Cost Containment System (AHCCCS) covered medications under section 36-2907.

  • Prohibits step therapy, prior authorization requirements, and other protocols that could restrict or delay dispensing of mental health medications meeting the specified conditions.

  • Maintains existing requirement that health care services plans provide at least one modality of medication-assisted treatment without prior authorization.

Legislative Description

Mental health medication; prior authorization

Exceptions

Last Action

Senate read second time

1/27/2022

Committee Referrals

Rules1/26/2022
Health and Human Services1/26/2022

Full Bill Text

No bill text available