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News » July 2006

Medicaid to cover Viagra purchases again, N.J. decides
July 11, 2006

The state once again will pick up the tab for men on Medicaid who need prescriptions for drugs treating erectile dysfunction.

In the midst of its budget negotiations Friday, the Corzine administration reversed a decision it made in May, when it began denying Medicaid recipients' coverage for Viagra, Levitra, Cialis and similar impotence prescription medications. Officials said it was a cost-cutting move that could save the state $1.5 million.

Sen. Joseph Vitale (D-Middlesex), chairman of the Senate Health, Human Services and Senior Citizens Committee, said he urged Gov. Jon Corzine to change his position "as a matter of fairness."

The state has continued to provide coverage for the drug for state employees, as well as the elderly and disabled people enrolled in the Pharmaceutical Assistance to the Aged and Disabled and Senior Gold programs, Vitale noted.

"If you are low-income or working poor, you are somehow treated differently," he said.

Vitale said covering erectile dysfunction drugs also makes medical sense.

"When men see a physician because of this condition, they discover the underlying reason they have this problem," Vitale said.

Erectile dysfunction, affecting between 35 percent to 50 percent of men, is most often caused by diseases such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease, according to the National Kidney and Urologic Diseases Clearinghouse Web site.

Anthony Coley, a Corzine spokesman, said Vitale made "a very persuasive argument that erectile dysfunction is often among the first symptoms of a larger health problem, and by getting folks to the doctor early, we can have a positive impact on public health."

Coverage will resume as soon as the state has reimplemented a system to screen out convicted sex offenders on Medicaid from receiving the impotence drugs, said state Human Services spokeswoman Suzanne Esterman.

Although the Medicaid program is jointly funded by the state and federal government, federal officials stopped covering impotence medications last year after New York and New Jersey officials learned they unknowingly had allowed sex offenders enrolled in government-subsidized insurance programs to obtain the popular medications.

Last year, about 55 sex offenders in New Jersey, classified under Megan's Law as the most likely to commit another sex crime, legally obtained the medications at a cost of $12,200 to taxpayers, causing a public outcry. The state set up a system to deny their requests for impotence drugs. The state is now reviving that system.

"We don't have a timeline yet, but we are working on it," Esterman said.

Medicaid provides health insurance for one in eight state residents.

Source : http://www.nj.com/news/ledger/index.ssf?/base/news-0/1152599160277870.xml&coll=1

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