This bill aims to ensure that individuals covered under the State Health Benefits Program (SHBP), School Employees Health Benefits Program (SEHBP), and Medicaid cannot be denied coverage for maintenance medications prescribed for chronic conditions due to changes in their health benefits plan or pharmacy benefits manager. Specifically, it stipulates that coverage must be maintained if the individual was already taking the medication prior to the change and if the new plan or pharmacy benefits manager continues to provide coverage for that class of drugs.

The legislation emphasizes that this protection applies to contracts purchased on or after the effective date of the act, which will take effect on the first day of the seventh month following its enactment. By prohibiting the denial of coverage under these circumstances, the bill seeks to safeguard the continuity of care for individuals managing chronic health conditions, ensuring they have access to necessary medications despite administrative changes in their health benefits.