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Bill H.4892
SECTION 1. Section 1 of chapter 176O of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting therein the following new definition: -
“Serious mental illness,” any of the following conditions, as defined by the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders:
(1) Bipolar disorders, hypomanic, manic, depressive, and mixed.
(2) Childhood and adolescent depression.
(3) Major depressive disorders, single episode or recurrent.
(4) Obsessive-compulsive disorders.
(5) Paranoid personality disorder and other psychotic disorders.
(6) Schizo-affective disorders, bipolar or depressive.
(7) Schizophrenia.
(8) Post-traumatic stress disorder.
SECTION 2.
Section 12A of said chapter 176O, as so appearing, is hereby further amended by inserting after subsection (g) the following new subsection:-
(h) Notwithstanding any other provision of law, a carrier or utilization review organization shall not, with respect to a drug approved by the Food and Drug Administration for the treatment of serious mental illness, impose a prior authorization requirement, step therapy protocol, or any other protocol that could restrict or delay the dispensing of the drug.
SECTION 3. Section 8 of chapter 118E of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting therein the following new definition: -
i½. “Serious mental illness”, any of the following conditions, as defined by the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders:
(1) Bipolar disorders, hypomanic, manic, depressive, and mixed.
(2) Childhood and adolescent depression.
(3) Major depressive disorders, single episode or recurrent.
(4) Obsessive-compulsive disorders.
(5) Paranoid personality disorder and other psychotic disorders.
(6) Schizo-affective disorders, bipolar or depressive.
(7) Schizophrenia.
(8) Post-traumatic stress disorder.
SECTION 4.
Section 51A of said chapter 118E of the General Laws, as so appearing, is hereby further amended by inserting after subsection (f) the following new subsection: -
(g) Notwithstanding any other provision of law, the division or an entity with which the division contracts to provide or manage health insurance benefits shall not, with respect to a drug approved by the Food and Drug Administration for the treatment of serious mental illness, impose a prior authorization requirement, step therapy protocol, or any other protocol that could restrict or delay the dispensing of the drug.
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