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HOUSE DOCKET, NO. 1549         FILED ON: 1/17/2013

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 903

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Tricia Farley-Bouvier

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To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
              Court assembled:

              The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act relative to prescription eye drops.

_______________

PETITION OF:

 

Name:

District/Address:

Tricia Farley-Bouvier

3rd Berkshire

Colleen M. Garry

36th Middlesex

James M. Murphy

4th Norfolk

John V. Fernandes

10th Worcester

David M. Rogers

24th Middlesex

Thomas M. Stanley

9th Middlesex

Chris Walsh

6th Middlesex

Kay Khan

11th Middlesex


HOUSE DOCKET, NO. 1549        FILED ON: 1/17/2013

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 903

By Ms. Farley-Bouvier of Pittsfield, a petition (accompanied by bill, House, No. 903) of Tricia Farley-Bouvier and others relative to insurance coverage for prescription eye drops.  Financial Services. 


The Commonwealth of Massachusetts
 

_______________

In the Year Two Thousand Thirteen

_______________

 

An Act relative to prescription eye drops.
 

              Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
 

              SECTION 1. Chapter 176O of the General Laws, as appearing the 2010 Official Edition, is hereby amended by inserting after section 21, the following section:- 

              Section 22.  (a) This section shall apply to:

              (1) insurers and nonprofit health service plans that provide coverage for prescription eye drops under health insurance policies or contracts that are issued or delivered in the commonwealth; and

              (2) health maintenance organizations that provide coverage for prescription eye drops under contracts that are issued or delivered in the commonwealth.

              (b)  any insurer, nonprofit health service plan or health maintenance organization subject to this section shall provide coverage for a refill of prescription eye drops in accordance with guidance for early refills of topical ophthalmic products provided to medicare part D plan sponsors by the centers for medicare and Medicaid services, where:

              (1) the prescribing health care practitioner indicates on the original prescription that additional quantities of the prescription eye drops are needed;

              (2) the refill requested by the insured does not exceed the number of additional quantities indicated on the original prescription by the prescribing health care practitioner; and

              (3) the prescription eye drops prescribed by the health care practitioner are a covered benefit under the policy of contract of the insured.

              (c)  This section shall apply to all policies, contracts, and health benefit plans issued, delivered, or renewed in the commonwealth on or after January 1, 2014.

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