State Legislation

NEHA focuses on advocacy issues in the six New England States. The following is a listing of major initiatives, events, and issues in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont.

 

To receive the latest legislative updates, please contact Rich Pezzillo at: RPezzillo@nehemophilia.org.

 

Multiple States

At issue in Connecticut, Massachusetts, Rhode Island, and Vermont is legislation to preclude the creation of specialty tiers in private insurers’ prescription drug formularies. This legislation will prevent members of the bleeding disorders communities from potentially paying 20% to 33%+ of the annual cost of their medication out of their own pockets. For a person with hemophilia without inhibitors, for example, the patient out-of-pocket cost of medication could range between $80,000 and $120,000 per year should the patient have to pay specialty tier co-insurance rates.  Under each state is a table providing links to their specialty tier legislation. To protect its members from specialty tiers and other legislation that might increase the cost of prescription drugs, NEHA initiated the New England Coalition for Affordable Prescription Drugs. You can learn more about the threat of specialty tiers and what NEHA and others are doing to block specialty tiers by viewing their website at www.necapd.org.

 

 

    

Bill

Summary

Details

Where is the bill?

HB5486

Limits out of pocket expenses

for prescription drugs

Click HERE

Joint Committee on

Insurance and Real Estate

 

Who are my Connecticut State lawmakers?

Click HERE and enter the requested information.

 

Where can I learn more about the Connecticut State Legislature?

Click HERE.  

 

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Bill

Summary

Details

Where is the bill?

LD1691

Prohibits insurance companies from charging consumers more than $3,500 annually for prescription drugs subject to coinsurance, but still allows carriers to use specialty tiers in their drug formularies.

Click HERE

Signed into law by Governor, April 2012

  

Who are my Maine State lawmakers?

Click HERE and enter the requested information.

 

Where can I learn more about the Maine State Legislature?

Click HERE.  

 

 

 

 Bill

Summary

Details

Where is bill?

S455

Prohibits specialty tiers (i.e. Prohibits insurance companies from establishing categories or tiers of drugs that would cost cosumers more.)

Click HERE

Reported out favorably by Health Care Finance Committee.  Now in Committee on Senate Ethics and Rules.

H3960

Establishes a Hemophilia Advisory Committee

Click HERE

Committee on Bills in Third Reading

H2383

Provides consumers with access to cost saving prescription discount programs (i.e. pharmaceutical coupons)

Click HERE

Bill did not pass, but language from bill is included in FY13 state budget.

S1107

Provides consumers with access to cost saving prescription discount programs (i.e. pharmaceutical coupons)

Click HERE

Bill did not pass, but language from bill is included in FY13 state budget.

 

Legislative Details:

Hemophilia Advisory Committee Bill H1526- (now H3960) -  In January 2012, lead sponsor Representative Jeffrey Sanchez filed a revised version of the Hemophilia Advisory Committee bill, HB1526.  Rep. Sanchez is the chair of the Joint Committee on Public Health. Passage of the bill would authorize the creation and maintenance of the Hemophilia Advisory Committee. The Committee would, among other things:

 

  1. Advise both the Commissioner of Public Health and the Commissioner of Insurance on a broad array of issues, including access to care, insurance coverage, standards of treatment, public education, and other matters that affect the interests of the MA bleeding and clotting disorders communities; and
  2. Support the Commonwealth in addressing the needs of a large number of people of all ages affected by bleeding and clotting disorders in Massachusetts.

 

Bill H3960, which would establish a Hemophilia Advisory Committee, was reported out favorably by the Committee on Public Health and Health Care Financing and is currently sitting in the Committee on Bills in Third Reading.  Contact your Representative today and urge him/her to askthe Speaker of the House to bring H3960 to the floor for a vote ASAP. 

 

 Who are my Massachusetts state lawmakers?

Massachusetts residents can find out who their elected officials are at “Find Your MA Elected Official.”

 

Where can I learn more about the Massachusetts State Legislature? Click HERE.

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Who are your state lawmakers?

To determine your State Senator, click HERE, and to determine your House representative, click HERE.

 

Where can I learn more about the New Hampshire State Legislature?

Find out what bills are before the New Hampshire General Court by visiting the General Court's web site.

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Bill

Summary

Details

Where is Bill?

H7573

Prohibits specialty tiers (i.e. Prohibits insurance companies from establishing categories or tiers of drugs that would cost consumers more) 

Click HERE  and enter 7573 under bills

Committee on Corporations *

H7792

Limits the use of coupons provided by generic and brand name pharmaceutical manufacturers 

Click HERE and enter 7792 under bills

House Corporations Committee *

S2557

Limits the use of coupons provided by generic and brand name pharmaceutical manufacturers  

Click HERE and enter 2557 under bills

Senate Health and Human Services Committeee *

 

*  Legislative Details:

As of May 23, 2012, the above-mentioned bills were recommended to be further studied.  Essentially this means that the bills have died for this legislative session.

 

Who are my Rhode Island state lawmakers?

Vist the Rhode Island Voter Information Center to learn who your state lawmakers are.

 

Where can I learn more about the Rhode Island Legislature?

Click HERE

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Bill

Summary

Details

Where is Bill?

H559

Establishes the Vermont Health Benefits Exchange and bans the sale of health insurance to small groups or individuals outside the Exchange.

 

In addition, for employer sponsored health plans, H559 establishes an annual out-of-pocket limit for prescription drugs at $2,000/individual and $4,000/family.

Click HERE

Signed into law by Governor, May 2012

 

Who are my Vermont state lawmakers?

Click HERE and enter the requested information

 

Where can I learn more about the Vermont State Legislature?

Click HERE

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