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MI SB0397
Bill
AI Summary
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Prohibits the Michigan Department of Health and Human Services from requiring prior authorization for prescription drugs treating opioid withdrawal symptom management or opioid use disorder under the Medicaid program
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Eliminates dosage maximums for medications prescribed to treat opioid withdrawal symptom management or opioid use disorder
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Maintains existing prior authorization exemptions for central nervous system drugs (anticonvulsants, antidepressants, antipsychotics), HIV/AIDS medications, cancer treatments, organ replacement therapy drugs, and epilepsy medications
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Applies to pharmaceutical services provided through both fee-for-service Medicaid and contracts with health maintenance organizations or managed care organizations
Legislative Description
Human services: medical services; exemption of certain prescription drugs from the medical assistance prior authorization process; provide for. Amends sec. 109h of 1939 PA 280 (MCL 400.109h).
Human services: medical services
Last Action
Referred To Committee On Insurance
7/1/2025