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2024 SESSION
SB 98 Health insurance; if prior authorization request is approved for prescription drugs.
Introduced by: Barbara A. Favola | all patrons ... notes | add to my profiles
SUMMARY AS PASSED: (all summaries)
Health insurance; prior authorization. Requires that any provider contract between a carrier and a participating health care provider contain specific provisions that require that if a prior authorization request is approved for prescription drugs and such prescription drugs have been scheduled, provided, or delivered to the patient consistent with the authorization, the carrier shall not revoke, limit, condition, modify, or restrict that authorization unless (i) there is evidence that the authorization was obtained based on fraud or misrepresentation; (ii) final actions by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer remove the drug from the market, limit its use in a manner that affects the authorization, or communicate a patient safety issue that would affect the authorization alone or in combination with other authorizations; (iii) a combination of drugs prescribed would cause a drug interaction; or (iv) a generic or biosimilar is added to the prescription drug formulary. The bill provides that such provisions do not require a carrier to cover any benefit not otherwise covered or cover a prescription drug if the enrollee is no longer covered by a health plan on the date the prescription drug was scheduled, provided, or delivered. This bill is identical to HB 1134.
FULL TEXT
- 01/02/24 Senate: Prefiled and ordered printed; offered 01/10/24 24101001D pdf | impact statement
- 01/22/24 Senate: Committee substitute printed 24105929D-S1 pdf | impact statement
- 03/04/24 Senate: Bill text as passed Senate and House (SB98ER) pdf | impact statement
- 04/02/24 Governor: Acts of Assembly Chapter text (CHAP0338) pdf
AMENDMENTS
- Senate committee, floor amendments and substitutes offered
- House amendments adopted
- House amendments engrossed
HISTORY
- 01/02/24 Senate: Prefiled and ordered printed; offered 01/10/24 24101001D
- 01/02/24 Senate: Referred to Committee on Commerce and Labor
- 01/22/24 Senate: Reported from Commerce and Labor with substitute (15-Y 0-N)
- 01/22/24 Senate: Committee substitute printed 24105929D-S1
- 01/24/24 Senate: Constitutional reading dispensed (40-Y 0-N)
- 01/25/24 Senate: Read second time
- 01/25/24 Senate: Reading of substitute waived
- 01/25/24 Senate: Committee substitute agreed to 24105929D-S1
- 01/25/24 Senate: Engrossed by Senate - committee substitute SB98S1
- 01/26/24 Senate: Read third time and passed Senate (38-Y 0-N)
- 02/13/24 House: Placed on Calendar
- 02/13/24 House: Read first time
- 02/13/24 House: Referred to Committee on Labor and Commerce
- 02/20/24 House: Reported from Labor and Commerce with amendment(s) (22-Y 0-N)
- 02/22/24 House: Read second time
- 02/23/24 House: Read third time
- 02/23/24 House: Committee amendment agreed to
- 02/23/24 House: Engrossed by House as amended
- 02/23/24 House: Passed House with amendment BLOCK VOTE (98-Y 0-N)
- 02/23/24 House: VOTE: Block Vote Passage (98-Y 0-N)
- 02/27/24 Senate: House amendment agreed to by Senate (39-Y 0-N)
- 03/04/24 Senate: Enrolled
- 03/04/24 Senate: Bill text as passed Senate and House (SB98ER)
- 03/04/24 House: Signed by Speaker
- 03/07/24 Senate: Signed by President
- 03/11/24 Senate: Enrolled Bill Communicated to Governor on March 11, 2024
- 03/11/24 Governor: Governor's Action Deadline 11:59 p.m., April 8, 2024
- 04/02/24 Governor: Approved by Governor-Chapter 338 (effective 7/1/24)
- 04/02/24 Governor: Acts of Assembly Chapter text (CHAP0338)