Adds new sections that set forth conditions for pharmacists to prescribe tobacco cessation drug therapies, including education approved by state board of pharmacy. The cessation therapies to be covered by all health insurance carriers on or after 1/1/26.
Impact
The bill mandates that health insurance carriers must cover tobacco cessation therapies as well as the associated services provided by pharmacists starting from January 1, 2026. This requirement extends to various types of insurance policies and indicates a significant shift in how tobacco cessation support is integrated into healthcare. Importantly, it also prohibits nonprofit medical service corporations from imposing barriers such as supervisory roles of other healthcare providers for reimbursement to pharmacists. This provision emphasizes the role of pharmacists as independent practitioners within the healthcare landscape.
Summary
Bill S0685 amends existing state laws to grant licensed pharmacists the authority to prescribe and dispense FDA-approved tobacco cessation therapies. This new provision aims to enhance the capacity of healthcare providers in assisting patients who wish to quit using tobacco by allowing them direct access to essential cessation medications. The law stipulates specific qualifications for pharmacists, including the completion of an approved tobacco cessation education program and establishes a referral system for high-risk patients. The intent is to provide a structured support mechanism for individuals looking to end their tobacco use.
Contention
Some points of contention may arise around the expansion of prescriptive authority to pharmacists and its implications for patient care. While proponents argue that this advancement enhances access to cessation therapies and could lead to higher quit rates among smokers, critics may express concerns regarding the adequacy of pharmacist training and readiness to manage complex medication therapies. Additionally, the requirement for all insurance providers to cover these therapies may lead to discussions about cost implications on premiums and the overall healthcare system.
Adds a new section which sets forth conditions for pharmacists to prescribe tobacco cessation/drug therapies, programs approved by the state board of pharmacy. The cessation therapies would be covered by all health insurance carriers on or after 1/1/25.
Adds a new section which sets forth conditions for pharmacists to prescribe tobacco cessation/drug therapies, programs approved by the state board of pharmacy. The cessation therapies would be covered by all health insurance carriers on or after 1/1/25.
Requires every individual or group health insurance contract effective on or after January 1, 2025, to provide coverage to the insured and the insured's spouse and dependents for all FDA-approved contraceptive drugs, devices and other products.
Requires every individual or group health insurance contract effective on or after January 1, 2025, to provide coverage to the insured and the insured's spouse and dependents for all FDA-approved contraceptive drugs, devices and other products.
Requires insurance coverage for all services provided by a pharmacist provided coverage of such services would have been covered if provided by a physician, advanced practice nurse, or physician assistant.
Requires insurance coverage for all services provided by a pharmacist provided coverage of such services would have been covered if provided by a physician, advanced practice nurse, or physician assistant.
Limits the use by insurers of step therapy, a protocol that establishes a specific sequence in which prescription drugs for a specified medical condition are covered by an insurer, by allowing medical providers to request step therapy exceptions.
Limits the use by insurers of step therapy, a protocol that establishes a specific sequence in which prescription drugs for a specified medical condition are covered by an insurer, by allowing medical providers to request step therapy exceptions.
Adds new sections that set forth conditions for pharmacists to prescribe tobacco cessation drug therapies, including education approved by state board of pharmacy. The cessation therapies to be covered by all health insurance carriers on or after 1/1/26.
Adds a new section which sets forth conditions for pharmacists to prescribe tobacco cessation/drug therapies, programs approved by the state board of pharmacy. The cessation therapies would be covered by all health insurance carriers on or after 1/1/25.
Adds a new section which sets forth conditions for pharmacists to prescribe tobacco cessation/drug therapies, programs approved by the state board of pharmacy. The cessation therapies would be covered by all health insurance carriers on or after 1/1/25.
Requires insurance coverage for all services provided by a pharmacist provided coverage of such services would have been covered if provided by a physician, advanced practice nurse, or physician assistant.
Requires insurance coverage for all services provided by a pharmacist provided coverage of such services would have been covered if provided by a physician, advanced practice nurse, or physician assistant.