2021 Legislative Memos
Health Insurance Coverage Mandates
Health Insurance Plan Management and Operations
- A.879/S.599 – Clinical Peer Reviewer
- A.4668/S.4111 – Prohibit Mid-Year Drug Formulary Changes
- S.2008 – Notice of Partial Approval
- S.5299/A.1741 – Copay Accumulator
Pharmaceuticals
- S.3566/A.5854A – Mail Order Pharmacy
- S.4532/A.4667 – Opioid Abuse Deterrent
- S.7252 – “White Bagging”
- S.6603/A.7598 – Managed Care Organizations and Pharmacy Benefit Manager Fees
Provider Rights and Reimbursement
2020 Legislative Memos
Health Insurance Plan Management and Operations
- A.9086/S.7525 – Nursing Home Eligibility Determinations
- A.9085/S.7159 – Notice of Partial Approval
- A.2832/S.67 – Domestic Violence Victim Request for Alternative Contact
- A.3076/S.8844 – Clinical Peer Review
- A.9003/S.7569 – Complex Rehabilitation Technology for Medicaid
- S.1408A – Municipality to Join County Self-Insured Plan
Pharmaceuticals
- S.7115/A.9034 – Partial Fill Authorization
- A.10821/S.8255 – $30 Insulin Out of Pocket Cap
- A.8665/S.6646 – Online EPIC Application
- S.6397 – Abuse Deterrent Formulations for Opioids
- S.7109/A.9012 – Medicaid Prescription Synchronization
- S.6492A/A.8533 – $100 Insulin Out of Pocket Cap
- A.9634/S.7699 – Medicaid Managed Care Coverage of Medication Assisted Treatment
- A.9902/S.7828 – Pharmacy Benefit Manager Fiduciary and Licensure
Provider Rights and Reimbursement
2019 Legislative Memos
Government Programs
Health Insurance Coverage Mandates
- A.178/S.426 – Coverage of Lyme Disease
- A.3684/S.526 – Coverage for Ovarian Screening
- A.487 – Over-the-Counter Emergency Contraception Coverage
- A.5502/S.3852 – Coverage for Mammograms at Age 35
- A.7478A – Coverage for In Vitro Fertilization
Health Insurance Plan Management and Operations
- A.252 – Behavioral Health Contracts
- A.2787/S.3960 – Payment to Behavioral Health Providers
- A.670 – Mandate Contract with Mental Health Practitioners
- A.405/S.3751 – Copayment Limit for Physical Therapy
- A.6139/S.279 – Copayment for Follow-Up Opioid Visit
- A.2899/S.873 – Prohibiting Use of Extrapolation
- A.264/S.3171 – Hospital Charges for Emergency Services Subject to IDR
- A.310/S.1408 – Municipality to Join County Self-Insurance Plan
- A.144 – Third Party Premium Payments
- A.2969/S.2849 – Prohibit Mid-Year Formulary Changes
- A.2832/S.67 – Domestic Violence Victim Request for Alternative Contact
- A.972 – Prohibiting Copays for Opioid Treatment Programs
- A.2880 – Prior Authorization Exception
Pharmaceuticals
- A.2799/S.1794 – Prescriber Prevails for Medicaid Managed Care
- A.2836/S.2087 – Pharmacy Benefit Managers Restrictions
- A.2785/S.3118 – Prescription Synchronization for Medicaid and Managed Care
- A.2795 – Medicaid Managed Care Preferred Drug Program
- A.3009/S.4078 – Prescription Synchronization
- A.347 – Mail Order Pharmacy Exemption
- A.3043/S.4463 – Mail Order Retail Pharmacy Exemption
- A.3918/S.1813 – Partial Fill Authorization
- A.7246/S.5935 – Medicaid Managed Care Coverage of Medication Assisted Treatment
Provider Rights and Reimbursement
- A.3077 – Universal Crediting
- A.2393 – Provider Collective Negotiations
- A.5140/S.5280 – Provider Credentialing Board Certification
- A.1778/S.3685A – Ambulance Reimbursement
- A.670 – Contract with Certain Mental Health Providers
- A.6211/S.3526 – Out-Of-Network Ambulance Reimbursement
Miscellaneous