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H.B. 156
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ROBERT L. EHRLICH, JR., Governor
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1. implementation of a step therapy program to assure that
lower cost alternatives are used first;
2. changes in the pharmacy network;
3. limitations on the first prescription for a maintenance
drug;
4. limitations on the quantity of drugs dispensed to reduce
inappropriate or excessive drug usage;
5. requirements for prior authorization of drugs to ensure
that they are medically necessary; and
6. implementation of a drug utilization review program].
(D) THE PROGRAM SHALL PROVIDE THE SAME PRESCRIPTION DRUG BENEFIT
OPTIONS TO EMPLOYEES AND RETIREES AND THEIR DEPENDENTS AS PROVIDED ON
JANUARY 1, 2005.
SECTION 2. AND BE IT FURTHER ENACTED, That the Laws of Maryland
read as follows:
Article—State Personnel and Pensions
2-502.
(a) There is a State Employee and Retiree Health and Welfare Benefits
Program, to be developed and administered by the Secretary.
(b) (1) The Program:
(i) subject to the regulations adopted under § 2-503 of this subtitle,
shall encompass all units in the Executive, Judicial, and Legislative branches of State
government, including any unit with an independent personnel system;
(ii) EXCEPT AS PROVIDED IN SUBSECTION (C) OF THIS SECTION,
shall include the health insurance benefit options established by the Secretary; and
(iii) except as provided in paragraph (2) of this subsection AND
SUBSECTION (C) OF THIS SECTION, may include any other benefit option that the
Secretary considers appropriate.
(2) The Program may not contain any of the benefits provided under
Division II or Title 35 or Title 37 of this article.
(C) THE PROGRAM SHALL PROVIDE THE SAME PRESCRIPTION DRUG BENEFIT
OPTIONS TO EMPLOYEES AND RETIREES AND THEIR DEPENDENTS AS PROVIDED ON
JANUARY 1, 2005.
SECTION 3. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall
take effect on the taking effect of the termination provision specified in Section 43 of
Chapter 444 of the Acts of the General Assembly of 2005. If that termination provision
takes effect, Section 1 of this Act shall be abrogated and of no further force and effect.
This Act may not be interpreted to have any effect on that termination provision.
- 3517 -
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