Prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions for covered persons solely because of change in health benefits plan or pharmacy benefits manager.
Reported out of committee Second Reading Assembly
Summary
The bill requires the State Health Benefits Commission, the School Employees’ Health Benefits Commission, and Medicaid contracts to keep covering a patient’s maintenance medication for a chronic condition if the patient was already taking it and the new plan still covers that drug class. It stops coverage loss that is caused only by a change in the health‑benefits contract or pharmacy benefits manager. This protects continuity of care for people on long‑term therapies.
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