Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Bill would bar midyear formulary drops for patients already on medications; committee adopts amendment and lays measure over
Summary
Senate File 1806 would prevent insurers and PBMs from removing a medication from a patient's formulary mid-contract year once the patient has started a treatment course; the committee adopted an A5 amendment requiring reporting and notice and laid the bill over for further consideration after testimony from pediatricians, NAMI and trade groups.
Senate File 1806 would prohibit plans or pharmacy benefit managers (PBMs) from removing coverage for a patient’s established medication during the plan contract year; patients who begin a treatment could continue that medication until the end of the plan year.
Sponsor Senator Mann said the bill is prompted by constituent incidents in which patients could not obtain chronic medications at the pharmacy when a formulary changed midyear. She described cases including emergency-room presentations and clinical deterioration when medication access was…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
