Medicaid Prior Authorization Prohibition
| Type | Bill |
|---|---|
| Session | 2024 Regular Session |
| Subjects |
Concerning prohibiting prior authorization for antipsychotic prescription drugs used to treat a mental health condition, and, in connection therewith, making an appropriation.
Bill Summary:
The act prohibits the department of health care policy and financing (department) from requiring an adult to be prescribed an antipsychotic prescription drug that is included on the preferred drug list and used to treat a mental health disorder or mental health condition if:
- During the preceding year, the adult was prescribed and unsuccessfully treated with an antipsychotic prescription drug that is included on the preferred drug list and used to treat a mental health disorder or mental health condition and for which a single claim is paid; or
- The adult is stable on an antipsychotic drug used to treat a mental health disorder or mental health condition that is not included on the preferred drug list.
The act appropriates $1,092,134 to the department. This appropriation consists of $888,555 from the general fund and $203,579 from the healthcare affordability and sustainability fee cash fund. The department may use this appropriation for medical and long-term care services for medicaid-eligible individuals. It is anticipated that the department will receive an additional $2,295,189 in federal funds for the implementation of this act.
APPROVED by Governor June 3, 2024
EFFECTIVE June 3, 2024
(Note: This summary applies to this bill as enacted.)
Prime Sponsors
Senator
Robert Rodriguez
Senator
Barbara Kirkmeyer
Representative
Judy Amabile
Representative
Emily Sirota
Committees
Related Documents & Information
| Activity | Vote | Documents |
|---|---|---|
| Adopt amendment J.002 | The motion passed without objection. | Vote summary |
| Refer Senate Bill 24-110, as amended, to the Committee of the Whole. | The motion passed on a vote of 9-2. | Vote summary |
| Activity | Vote | Documents |
|---|---|---|
| Refer Senate Bill 24-110 to the Committee on Appropriations. | The motion passed on a vote of 11-0. | Vote summary |
| Activity | Vote | Documents |
|---|---|---|
| Adopt amendment J.001 | The motion passed without objection. | Vote summary |
| Refer Senate Bill 24-110, as amended, to the Committee of the Whole and with a recommendation that it be placed on the consent calendar. | The motion passed on a vote of 8-0. | Vote summary |
| Activity | Vote | Documents |
|---|---|---|
| Adopt amendment L.002 (Attachment B). | The motion passed without objection. | Vote summary |
| Refer Senate Bill 24-110, as amended, to the Committee on Appropriations. | The motion passed on a vote of 9-0. | Vote summary |
| Date | Calendar | Motion | Vote | Vote Document |
|---|---|---|---|---|
| 05/06/2024 | House Amendments | REPASS |
32
AYE
2
NO
1
OTHER
|
Vote record |
| 05/06/2024 | House Amendments | CONCUR |
34
AYE
0
NO
1
OTHER
|
Vote record |
| 04/24/2024 | Third Reading | BILL |
31
AYE
2
NO
2
OTHER
|
Vote record |
| Date | Calendar | Motion | Vote | Vote Document |
|---|---|---|---|---|
| 05/05/2024 | Third Reading | BILL |
57
AYE
5
NO
3
OTHER
|
Vote record |
| Date | Location | Action |
|---|---|---|
| 06/03/2024 | Governor | Governor Signed |
| 05/16/2024 | Governor | Sent to the Governor |
| 05/16/2024 | House | Signed by the Speaker of the House |
| 05/16/2024 | Senate | Signed by the President of the Senate |
| 05/06/2024 | Senate | Senate Considered House Amendments - Result was to Concur - Repass |
| 05/05/2024 | House | House Third Reading Passed - No Amendments |
| 05/04/2024 | House | House Second Reading Special Order - Passed with Amendments - Committee |
| 05/02/2024 | House | House Committee on Appropriations Refer Amended to House Committee of the Whole |
| 04/29/2024 | House | House Committee on Health & Human Services Refer Unamended to Appropriations |
| 04/24/2024 | House | Introduced In House - Assigned to Health & Human Services |
| 04/24/2024 | Senate | Senate Third Reading Passed - No Amendments |
| 04/23/2024 | Senate | Senate Second Reading Special Order - Passed with Amendments - Committee |
| 04/23/2024 | Senate | Senate Committee on Appropriations Refer Amended - Consent Calendar to Senate Committee of the Whole |
| 04/17/2024 | Senate | Senate Committee on Health & Human Services Refer Amended to Appropriations |
| 02/05/2024 | Senate | Introduced In Senate - Assigned to Health & Human Services |
Prime Sponsor
Sponsor
Co-Sponsor
| Effective Date | Chapter # | Title | Documents |
|---|---|---|---|
| 06/03/2024 | 363 | Medicaid Prior Authorization Prohibition |