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MS HB1527
Bill
Status
4/2/2024
Primary Sponsor
John Hines
Click for details
AI Summary
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Prohibits health benefit plans, pharmacy benefit managers, and private review agents from denying coverage of antiretroviral drugs for HIV or AIDS treatment and prevention as "not medically necessary"
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Bars use of prior authorization requirements, step therapy, or other protocols that could restrict or delay dispensing of antiretroviral drugs, including long-acting injectable FDA-approved medications
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Requires health benefit plans to include at least one long-acting injectable antiretroviral medication in their formulary, with or without prior authorization requirement
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Applies to all health benefit plans including private insurance, preferred provider organizations, health maintenance organizations, Medicaid fee-for-service, and Medicaid managed care programs
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Takes effect July 1, 2024
Legislative Description
HIV medications; prohibit health plans and Medicaid from subjecting to protocols that restrict dispensing of.
Last Action
Died In Committee
4/2/2024