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CO SB110
Bill
Status
6/3/2024
Primary Sponsor
Barbara Kirkmeyer
Click for details
AI Summary
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Prohibits the Colorado Department of Health Care Policy and Financing from requiring prior authorization for preferred antipsychotic drugs used to treat mental health disorders covered under the state Medicaid program.
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Allows non-preferred antipsychotic drugs without prior authorization if an adult was unsuccessfully treated with a preferred antipsychotic in the past 365 days or is currently stable on a non-preferred antipsychotic drug.
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Requires prescribing providers to electronically attest that patients meet eligibility requirements, with automatic processing and override of preferred drug requirements upon attestation.
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Appropriates $1,092,134 for fiscal year 2024-25 ($888,555 from general fund and $203,579 from healthcare affordability and sustainability fee cash fund) and anticipates $2,295,189 in federal matching funds.
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Does not prevent drug utilization reviews for patient safety or medically accepted indications, managed care organization contracting, or use of generic drugs.
Legislative Description
Medicaid Prior Authorization Prohibition
Health Care & Health Insurance
Last Action
Governor Signed
6/3/2024