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AZ SB1720
Bill
Status
2/10/2025
Primary Sponsor
Lauren Kuby
Click for details
AI Summary
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Establishes comprehensive clozapine treatment access requirements for health insurers, requiring reimbursement for psychiatric visits at the highest complexity level without frequency restrictions and an additional 30% enhancement rate for the first 12 months of treatment.
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Mandates coverage of clozapine-related services including medical weight management, specialty interventions for excessive salivation, less-invasive hematological monitoring devices, mobile phlebotomy services, genetic testing, and emergency prescription drug access outside standard refill requirements.
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Requires health insurers and Arizona Health Care Cost Containment System (AHCCCS) to proactively identify underutilizing providers, provide clozapine-specific training to behavioral health providers, and establish in-home monitoring and medication delivery services for patients with serious mental illness or serious emotional disturbance designations.
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Applies clozapine access and treatment protocols to county jails, state prisons, and private prison contractors for incarcerated individuals prescribed clozapine.
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Mandates that inpatient behavioral health facilities with pharmacies maintain clozapine in stock and extends clozapine treatment protocol coverage to AHCCCS long-term care services and comprehensive behavioral health services for children.
Legislative Description
Clozapine; access; treatment protocols
Mental Health Services
Last Action
Senate HHS Committee action: Discussion Only, voting: (0-0-0-0)
2/19/2025