Massachusetts Changes Allowable Payments Owed For Prescribed Schedule II Narcotics

On Aug. 9, 2018, Gov. Baker signed H.B. 4742 into law, creating Chapter 208. The new law intends to bolster efforts to mitigate the effects of the ongoing opioid crisis in Massachusetts. Specifically, effective Nov. 7, 2018, if plans provide coverage for any Schedule II narcotic substance that is subject to cost-sharing, plan participants that fill prescriptions in lesser quantities can’t be subject to additional copayments or other payments when they fill the remaining portions of these prescriptions.

The new law becomes effective on Nov. 7, 2018. The law contains no new employer obligations, but those employers with fully-insured plans in MA should be aware of the new requirement to limit additional copayments or other payments for Schedule II narcotic substances.

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