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CT SB00820
Bill
Status
2/7/2019
Primary Sponsor
Human Services Committee
Click for details
AI Summary
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Defines "pharmacogenomics" as the study of how an individual's genetic makeup affects the body's response to prescription drugs and "medically necessary" as a determination made by a treating primary care practitioner.
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Requires the Commissioner of Social Services to provide Medicaid coverage for pharmacogenomics tests determined to be medically necessary, to the extent permitted under federal law.
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Eliminates prior authorization requirements for medically necessary pharmacogenomics tests for persons being treated for behavioral disorders, psychiatric disorders, cardiovascular disorders, and chronic pain.
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Allows the commissioner to give preference to Medicaid-enrolled laboratory providers offering discounted prices for pharmacogenomics tests.
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Effective July 1, 2019, with authority for the commissioner to amend the Medicaid state plan if necessary to provide coverage for these tests.
Legislative Description
An Act Waiving Prior Medicaid Authorization Requirements For Certain Pharmacogenomics Tests.
Last Action
Public Hearing 02/19
2/14/2019