SB 1227

Abstract

State plan for medical assistance; payment of medical assistance; 12-month supply of hormonal contraceptives. Directs the Board of Medical Assistance Services to include in the state plan for medical assistance a provision for the payment of medical assistance for the dispensing or furnishing of up to a 12-month supply of hormonal contraceptives at one time for Medicaid and Family Access to Medical Insurance Security (FAMIS) enrollees. The bill prohibits the Department of Medical Assistance Services from imposing any utilization controls or other forms of medical management limiting the supply of hormonal contraceptives that may be dispensed or furnished to an amount less than a 12-month supply. The bill provides that the bill shall not be construed to (i) require a provider to prescribe, dispense, or furnish a 12-month supply of self-administered hormonal contraceptives at one time or (ii) exclude coverage for hormonal contraceptives as prescribed by a prescriber, acting within his scope of practice, for reasons other than contraceptive purposes.

State plan for medical assistance; payment ofmedical assistance; 12-month supply of hormonal contraceptives.Directs the Board of Medical Assistance Services to include in thestate plan for medical assistance a provision for the payment ofmedical assistance for the dispensing or furnishing of up to a 12-month supply of hormonal contraceptives at one time. The bill prohibitsthe Department of Medical Assistance Services from imposing any utilization controls or other forms of medical management limiting the supplyof hormonal contraceptives that may be dispensed or furnished toan amount less than a 12-month supply and makes clear that the billshall not be construed to (i) require a provider to prescribe, dispense,or furnish a 12-month supply of self-administered hormonal contraceptivesat one time or (ii) exclude coverage for hormonal contraceptivesas prescribed by a prescriber, acting within his scope of practice,for reasons other than contraceptive purposes.