Vol. 2026 · Bill Detail · Special Edition
CivicRadar.Wednesday, September 2, 2026
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Prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions for covered persons solely because of change in health benefits plan or pharmacy benefits manager.
This bill requires health insurance plans for state employees and school employees, as well as Medicaid managed care plans, to continue covering maintenance medications for chronic conditions. If a person is already taking a medication and the insurance contract or pharmacy benefits manager changes, coverage for that specific drug cannot be denied solely due to the change, as long as the new plan covers that type of drug. This change would apply to new and renewed contracts after the law takes effect.
No official summary on file for this bill · generated by Gemini 2.5 Flash from its full text
- D · PrimeMichael Venezia
- D · PrimeVerlina Reynolds-Jackson
- D · PrimeHeather Simmons
- D · CoVincent Kearney
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