Two Republican lawmakers have launched proposals that will enable Medicaid recipients with “critical psychological sickness” to keep away from a follow known as step remedy when receiving medicine.
Rep. Karen Gonzalez Pittman, R-Tampa, launched the Home model of the proposal (HB 491) on Thursday, after Sen. Gayle Harrell, R-Stewart, A Senate model (SB 268) was filed final month. The identical invoice might be introduced up for consideration through the 2024 legislative session, which begins in January.
Step remedy typically requires sufferers to strive one drug to see if it really works earlier than attempting a costlier drug.
The invoice would enable Medicaid recipients with circumstances akin to bipolar dysfunction, main melancholy and schizophrenia to keep away from step-up therapy if their medical doctors submit documentation of medical necessity.
The Senate handed a invoice through the 2023 legislative session that will have made such a change, however the challenge didn’t move the Home.
Most Medicaid beneficiaries obtain care via managed care plans. These payments would direct state well being care directors to include the results of proposed managed care plan charge modifications.
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