Sec. 6. Eliminating insurance barriers to medication-assisted treatment
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Subpart II of part A of title XXVII of the Public Health Service Act ( 42 U.S.C. 300gg–11 et seq.) is amended by adding at the end the following: A group health plan (other than a self-insured plan) or a health insurance issuer offering group or individual health insurance coverage shall not impose any utilization control policies or procedures (as defined by the Secretary), including prior authorization requirements, with respect to medication-assisted treatment covered under the plan or coverage. .
Section 1903(i) of the Social Security Act ( 42 U.S.C. 1396b(i) ) is amended by inserting after paragraph (8), the following: with respect to any amount expended for medical assistance for medication-assisted treatment (as defined in section 1905(ee)) if the State imposes any utilization control policies or procedures (as defined by the Secretary), including any prior authorization requirements, with respect to the provision of such assistance; or . Section 1905(a)(29) of the Social Security Act ( 42 U.S.C. 1396d(a)(29) ) is amended by inserting and section 1903(i)(9) after subsection
(ee). The amendments made by this subsection take effect on October 1, 2019.
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- 42 USC 300gg–11
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Sec. 6
Eliminating insurance barriers to medication-assisted treatment
Cite42 USC 300gg–11
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