Maryland 2022 Regular Session

Maryland Senate Bill SB787 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2
3	3	EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
4	4	[Brackets] indicate matter deleted from existing law.
5	5	sb0787
6	6
7	7	SENATE BILL 787
8	8	J5 2lr2451
9	9	CF HB 970
10	10	By: Senator Feldman
11	11	Introduced and read first time: February 7, 2022
12	12	Assigned to: Finance
13	13
14	14	A BILL ENTITLED
15	15
16	16	AN ACT concerning 1
17	17
18	18	Managed Care Organizations and Health Insurance Carriers – Prior 2
19	19	Authorization for HIV Postexposure Prophylaxis for Victims of Sexual Offenses 3
20	20	– Prohibition 4
21	21
22	22	FOR the purpose of prohibiting managed care organizations and certain insurers, nonprofit 5
23	23	health service plans, and health maintenance organizations from applying a prior 6
24	24	authorization requirement for prescription drugs used as postexposure prophylaxis 7
25	25	for the prevention of HIV if the drug is prescribed to a victim of an alleged rape or 8
26	26	sexual offense; and generally relating to prescription drugs used as postexposure 9
27	27	prophylaxis for the prevention of HIV infection and prior authorizations. 10
28	28
29	29	BY repealing and reenacting, without amendments, 11
30	30	Article – Health – General 12
31	31	Section 15–103(a)(1) 13
32	32	Annotated Code of Maryland 14
33	33	(2019 Replacement Volume and 2021 Supplement) 15
34	34
35	35	BY adding to 16
36	36	Article – Health – General 17
37	37	Section 15–103(b)(31) 18
38	38	Annotated Code of Maryland 19
39	39	(2019 Replacement Volume and 2021 Supplement) 20
40	40
41	41	BY adding to 21
42	42	Article – Insurance 22
43	43	Section 15–857 23
44	44	Annotated Code of Maryland 24
45	45	(2017 Replacement Volume and 2021 Supplement) 25
46	46
47	47	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 26
48	48	That the Laws of Maryland read as follows: 27 2 SENATE BILL 787
49	49
50	50
51	51
52	52	Article – Health – General 1
53	53
54	54	15–103. 2
55	55
56	56	(a) (1) The Secretary shall administer the Maryland Medical Assistance 3
57	57	Program. 4
58	58
59	59	(b) (31) A MANAGED CARE ORGANIZ ATION MAY NOT APPLY A PRIOR 5
60	60	AUTHORIZATION REQUIR EMENT FOR A PRESCRIP TION DRUG USED AS 6
61	61	POSTEXPOSURE PROPHYL AXIS FOR THE PREVENT ION OF HIV IF THE 7
62	62	PRESCRIPTION DRUG IS PRESCRIBED TO A VICT IM OF AN ALLEGED RAP E OR SEXUAL 8
63	63	OFFENSE. 9
64	64
65	65	Article – Insurance 10
66	66
67	67	15–857. 11
68	68
69	69	(A) (1) THIS SECTION APPLIES TO: 12
70	70
71	71	(I) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 13
72	72	PROVIDE COVERAGE FOR PRESCRIPTION DRUGS U NDER INDIVIDUAL, GROUP, OR 14
73	73	BLANKET HEALTH INSUR ANCE POLICIES OR CON TRACTS THAT ARE ISSU ED OR 15
74	74	DELIVERED IN THE STATE; AND 16
75	75
76	76	(II) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 17
77	77	COVERAGE FOR PRESCRI PTION DRUGS UNDER IN DIVIDUAL OR GROUP CO NTRACTS 18
78	78	THAT ARE ISSUED OR D ELIVERED IN THE STATE. 19
79	79
80	80	(2) AN INSURER, A NONPROFIT HEALTH S ERVICE PLAN, OR A HEALTH 20
81	81	MAINTENANCE ORGANIZA TION THAT PROVIDES C OVERAGE FOR PRESCRIP TION 21
82	82	DRUGS THROUGH A PHAR MACY BENEFITS MANAGE R IS SUBJECT TO THE 22
83	83	REQUIREMENTS OF THIS SECTION. 23
84	84
85	85	(B) AN ENTITY S UBJECT TO THIS SECTI ON MAY NOT APPLY A P RIOR 24
86	86	AUTHORIZATION REQUIR EMENT FOR A PRESCRIP TION DRUG USED AS 25
87	87	POSTEXPOSURE PROPHYL AXIS FOR THE PREVENT ION OF HIV IF THE 26
88	88	PRESCRIPTION DRUG IS PRESCRIBED TO A VICT IM OF AN ALLEGED RAP E OR SEXUAL 27
89	89	OFFENSE. 28
90	90
91	91	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all 29
92	92	policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 30
93	93	after January 1, 2023. 31
94	94
95	95	SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 32 SENATE BILL 787 3
96	96
97	97
98	98	January 1, 2023. 1
99	99