INSURANCE: Prohibits prior authorizations requirements for certain generic medications prescribed by qualified physicians (EN NO IMPACT GF EX See Note)
What changed between versions
Added 'authorized providers' to the list of qualified prescribers eligible for the prior authorization exemption, alongside board-certified physicians.
Updated the sponsor list from a single representative to a group of representatives and refined the bill's short title.
Added the term 'authorized provider' to the list of defined terms in the statute.
Removed the definition of 'commercial insurer' from the text as it appears to be redundant or handled elsewhere.
Removed the definition of 'Medicaid managed care organization' from the text.
Removed the definition of 'health coverage plan' from the text.
Removed the definition of 'Medicaid managed care contract' from the text.
Added a specific requirement that the generic medication must not be an opioid to qualify for the exemption.
Added a cost threshold requiring the wholesale acquisition cost of the medication to be no more than $250 per prescription.