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FL H0491
Bill
Status
Failed
3/8/2024
Primary Sponsor
Karen Gonzalez Pittman
Click for details
AI Summary
- Defines "serious mental illness" in Florida Medicaid statute to include bipolar disorder, depression in childhood or adolescence, major depressive disorders, obsessive-compulsive disorder, paranoid personality disorder or other psychotic disorders, schizoaffective disorder, and schizophrenia, as classified by the DSM-5
- Requires the Agency for Health Care Administration (AHCA) to approve drug products for the treatment of serious mental illness without step-therapy prior authorization when the prescribing physician provides written medical or clinical documentation of medical necessity
- Expands the existing step-therapy exemption for medications treating "schizophrenia or schizotypal or delusional disorders" to cover all seven defined serious mental illness categories
- Directs AHCA to incorporate the rate impact of the act into Medicaid managed medical assistance and long-term care managed care program rates effective October 1, 2024
- Effective date of October 1, 2024
Legislative Description
Access to Appropriate Medications for Serious Mental Illness
Last Action
Died in Select Committee on Health Innovation
3/8/2024
Committee Referrals
Select Committee on Health Innovation11/30/2023
Full Bill Text
No bill text available