as introduced - 89th Legislature (2015 - 2016) Posted on 02/20/2015 08:56am
A bill for an act
relating to insurance; requiring coverage for opioid analgesics with
abuse-deterrent properties; proposing coding for new law in Minnesota Statutes,
chapter 62Q.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
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(a) For the purposes of this section, the following terms
have the meanings given them.
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(b) "Abuse-deterrent opioid analgesic drug product" means a brand or generic opioid
analgesic drug product approved by the United States Food and Drug Administration
(FDA) with abuse-deterrence labeling claims that indicate the drug product is expected to
result in a meaningful reduction in abuse of opioids.
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(c) "Opioid analgesic drug product" means a drug product in the opioid analgesic
drug class prescribed to treat moderate to severe pain or other conditions and includes
immediate release, extended release, and long-acting forms and whether or not combined
with other drug substances to form a single drug product or dosage form.
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(a) A health plan that provides prescription drug
coverage must provide coverage for abuse-deterrent opioid analgesic drug products as a
preferred drug on the health plan company's drug formulary or preferred drug list.
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(b) Cost-sharing requirements for abuse-deterrent opioid analgesic drug products
must not exceed the lowest cost-sharing requirements applied to other covered prescription
drugs on the drug formulary or preferred drug list.
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(a) A health plan company shall not impose as part
of a prior authorization or utilization review requirement the use of a non-abuse-deterrent
opioid analgesic drug product in order to access an abuse-deterrent opioid analgesic drug
product.
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(b) Nothing in this subdivision prevents a health plan company from applying a
prior authorization requirement to an abuse-deterrent opioid analgesic drug product, so
long as the same prior authorization requirements are applied to non-abuse-deterrent
opioid analgesic drug products.
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This section is effective August 1, 2015, and applies to any
health plan issued or renewed on or after that date.
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