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coalition will clearly identify all state programs impacted by and 1 all fund sources used in development and implementation of this 2 project. This subsection is subject to the conditions, limitations, 3 and review requirements of section 701 of this act. 4 (((107))) (103) $5,000 of the general fund—state appropriation 5 for fiscal year 2022, $22,000 of the general fund—state appropriation 6 for fiscal year 2023, and $75,000 of the general fund—federal 7 appropriation are provided solely for implementation of Second 8 Substitute Senate Bill No. 5664 (forensic competency hearings). If 9 the bill is not enacted by June 30, 2022, the amounts provided in 10 this subsection shall lapse. 11 (((108))) (104)(a) $3,735,000 of the general fund—state 12 appropriation for fiscal year 2023 and $14,075,000 of the general 13 fund—federal appropriation are provided solely for the authority to 14 provide coverage for all federal food and drug administration- 15 approved HIV antiviral drugs without prior authorization beginning 16 January 1, 2023. 17 (b) Beginning January 1, 2023, upon initiation or renewal of a 18 contract with the authority to administer a medicaid managed care 19 plan, a managed health care system shall provide coverage without 20 prior authorization for all federal food and drug administration- 21 approved HIV antiviral drugs. 22 (c) By December 1, 2022, and annually thereafter, the authority 23 must submit to the fiscal committees of the legislature the projected 24 and actual expenditures and percentage of medicaid clients who switch 25 to a new drug class without prior authorization as described in (a) 26 and (b) of this subsection. 27 (((109))) (105)(a) $200,000 of the general fund—state 28 appropriation for fiscal year 2023 is provided solely for the 29 authority, in consultation with the office of the insurance 30 commissioner, to complete an analysis of the cost to implement a 31 fertility treatment benefit as described in the department of 32 health's December 2021 mandated benefit sunrise review. 33 (b) The authority must contract with one or more consultants to: 34 (i) Obtain utilization and cost data from the state to provide an 35 estimate of aggregate utilization and cost impacts of fertility 36 treatment coverage for medicaid recipients, expressed as total annual 37 cost and as a per member per month cost for plan years 2024 through 38 2027; and 39 p. 990 ESSB 5187.SL