For those of you who are watching Legislative Developments in Harrisburg, the Drug Formulary bill was brought before the Pennsylvania House of Representatives for consideration on Monday, February 5, 2018. Senate bill 936 provides for the implementation of a prescription drug formulary for workers’ compensation claims. Medications included within these formularies are deemed reasonable and necessary. To obtain medications not within the formulary would require a letter of medical necessity under SB 936. These types of safeguards are standard features in most private healthcare insurance plans. Formulary bills have been adopted by numerous other states and have significantly impacted both in a reduction to prescription medication and resulted in cost savings across the board for workers’ compensation claims.
Unfortunately, the vote on Senate Bill 936 resulted in a tie. 96 members voted in favor, and 96 opposed. This was 3 votes shy of passage. Here is an inclusive link of how each of our Pennsylvania State Representatives voted.
The bill, however, is not dead. A Motion for Reconsideration has been lodged, and there is the strong possibility that the bill will be re-introduced on the floor for full consideration following the upcoming budget hearings. We would urge consideration of Senate bill 936 and encourage our clients and friends to reach out to the State Representatives and urge support for this important workers’ compensation reform.