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MI SB0915
Bill
Status
4/26/2016
Primary Sponsor
Margaret O'Brien
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AI Summary
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Requires health insurers and HMOs in Michigan that provide pharmaceutical coverage to cover at least one abuse-deterrent opioid analgesic drug product per opioid ingredient.
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Cost sharing for brand-name abuse-deterrent opioid products cannot exceed the lowest cost-sharing level for brand-name prescription drugs, and cost sharing for generic abuse-deterrent opioid products cannot exceed the lowest level for generic prescription drugs.
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Prohibits insurers from increasing overall patient cost sharing or issuing prescriber disincentives to comply with coverage requirements.
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Prohibits insurers from requiring patients to first use a non-abuse-deterrent opioid product before covering an abuse-deterrent alternative.
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Allows insurers to apply utilization review requirements such as prior authorization to abuse-deterrent opioids if applied equally to all opioid products with the same drug release type (immediate or extended).
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Takes effect 90 days after enactment.
Legislative Description
Insurance; health insurers; abuse-deterrent opioid analgesic drug; require coverage. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406u.
Insurance: health insurers
Last Action
Referred To Committee On Health Policy
4/26/2016