Public Health - Medications to Treat an Opioid Use Disorder - Preferred and Nonpreferred Medications
Impact
The enactment of SB323 is expected to have a significant impact on state laws regarding the procurement of medications for opioid addiction. By eliminating the prior authorization requirement, the bill facilitates timely access to treatment, which is crucial for individuals seeking recovery from opioid use disorder. Additionally, the Maryland Department of Health is required to establish a reporting system to monitor and analyze prescribing patterns for these medications, thereby improving oversight and responsiveness to treatment needs.
Summary
Senate Bill 323 aims to address the rising issue of opioid use disorder by prohibiting the Maryland Medical Assistance Program from applying prior authorization requirements for specific medications used in treatment. The bill specifically names methadone, buprenorphine, and naltrexone as medications exempt from prior authorization when prescribed to treat opioid use disorders. This change is intended to make it easier for individuals suffering from opioid addiction to access necessary treatments without unnecessary bureaucratic obstacles.
Sentiment
General sentiment surrounding SB323 appears to be supportive, particularly among advocates for public health and addiction treatment. Proponents argue that the bill is a necessary step toward combating the opioid crisis by removing barriers to treatment. However, there are concerns regarding how the changes might affect the oversight of prescribing practices, and whether the increased access will lead to adequate support systems being in place for individuals seeking help.
Contention
Notable points of contention raised during discussions included the balance between accessibility to treatment and the maintenance of appropriate controls over prescription practices. Some stakeholders voiced concerns that removing prior authorization could lead to increased prescriptions without adequate monitoring, potentially resulting in misuse. Nonetheless, advocates for the bill argue that the focus should be on ensuring patients receive timely and necessary care without unnecessary delays imposed by prior authorization protocols.
Prohibits the imposition of prior authorization requirements in Medicaid managed care organizations for certain prescription medications used in treating opioid use disorder (RE DECREASE SG RV See Note)
Requests the La. Department of Health to study the benefits and costs of eliminating prior authorization requirements for medication-assisted treatment for opioid use disorder
Prohibits prior authorization or a step therapy protocol for the prescription of a nonpreferred medication on their drug formulary used to assess or treat an enrollee's bipolar disorder, schizophrenia or schizotypal.
Prohibits prior authorization or a step therapy protocol for the prescription of a nonpreferred medication on their drug formulary used to assess or treat an enrollee's bipolar disorder, schizophrenia or schizotypal.