Second Regular Session H.B. 2449
PROPOSED
SENATE AMENDMENTS TO H.B. 2449
(Reference to House engrossed bill)
Page 1, line 29, after the period strike remainder of line
Line 30, strike "mental disorder are" insert "An antipsychotic or antidepressant prescription drug prescribed to a member who is at least eighteen years of age that is used to treat a mental health disorder or a mental health condition, for which such prescription drug is approved by the United States food and drug administration as described on the prescription drug's approved labeling, is"
Line 31, after "may" insert "only"
Line 33, strike "by the"
Strike line 34
Line 35, strike "eighteen years of age"
Strike lines 36 through 45
Page 2, strike lines 1 and 2
Reletter to conform
Between lines 7 and 8, insert:
"(c) The medication is prescribed by either a psychiatrist or a psychiatric and mental health nurse practitioner or other qualified provider as authorized by system rules, except in cases relating to maternal mental health where the medications may be prescribed by an obstetrician and gynecologist, psychiatrist or psychiatric and mental health nurse practitioner."
Page 6, between lines 22 and 23, insert:
"2. "PSYCHIATRIC AND MENTAL HEALTH NURSE PRACTITIONER" HAS THE SAME MEANING PRESCRIBED IN 36-501.
3. "PSYCHIATRIST" HAS THE SAME MEANING PRESCRIBED IN SECTION 36-501."
Renumber to conform
Page 6, strike lines 27 through 45
Page 7, strike lines 1 through 12, insert:
"Sec. 2. Title 36, chapter 29, article 1, Arizona Revised Statutes, is amended by adding section 36-2907.16, to read:
36-2907.16. Mental health medications; report
On or before December 1, 2026 and each December 1 thereafter, the administration shall provide a report to the speaker of the house of representatives, the president of the senate, the chairpersons of the appropriations committees of the senate and the house of representatives, or their successor committees, and the directors of the joint legislative budget committee and the governor's office of strategic planning and budgeting, and a copy of the report to the secretary of state's office, that includes all of the following:
1. The total number of medication claims that were not subject to prior authorization or step-therapy protocols prescribed to members in accordance with section 36-2907, subsection A, paragraph 4 during the previous fiscal year.
2. The total number of members that were prescribed medications that were not subject to prior authorization or step-therapy protocols in accordance with section 36-2907, subsection A, paragraph 4 during the previous fiscal year.
3. The aggregate gross total amount paid by the system related to medications prescribed in accordance with section 36-2907, subsection A, paragraph 4 during the previous fiscal year.
4. The aggregate amount of all rebates received related to medications prescribed in accordance with section 36-2907, subsection A, paragraph 4 during the previous fiscal year.
5. The aggregate savings from reduced hospitalizations, inpatient treatment and emergency services attributable to medications prescribed in accordance with section 36-2907, subsection A, paragraph 4 during the previous fiscal year.
Sec. 3. Legislative intent
The legislature intends for the realized savings associated with the changes to section 36-2907, subsection A, paragraph 4, Arizona Revised Statutes, as amended by this act, be prioritized for enhancing services, including housing, for persons who have a serious mental illness and who are not eligible to receive services through the Arizona health care cost containment system."
Renumber to conform
Amend title to conform