Massachusetts H1125 aims to prevent non-medical switching of prescription drugs in health benefit plans.
Massachusetts H1125 addresses non-medical switching by prohibiting health carriers, health benefit plans, and utilization review organizations from limiting or excluding coverage of a prescription drug for a medically stable covered person. The bill ensures that coverage continues through the end of the person's eligibility, including any open enrollment period. It also mandates a clear process for requesting coverage exemptions and requires timely responses to such requests.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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