PRIOR AUTHORIZATION & PRESCRIPTION DRUGS

Summary

The bill expands the state's Prior Authorization Act to include pharmacy benefits managers, bans prior‑authorization for drugs that treat serious mental illnesses, and requires that prior‑authorization for chronic‑maintenance drugs be sought only once every three years. It also creates a uniform prior‑authorization form, sets reporting and complaint‑tracking duties for the insurance superintendent, and allows fines for insurers that fail to comply. The changes affect health insurers, pharmacy benefits managers, doctors and patients who use prescription medicines.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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