HB 362 Accident and sickness insurance; step therapy protocols, disclosure of information.
Glenn R. Davis | all patrons    ...    notes
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Summary as introduced:
Step therapy protocols; disclosures. Requires health insurers that limit coverage for prescription drugs through the use of a step therapy protocol to have in place a process for a prescribing provider to request an override of the protocol for a patient. A step therapy protocol is a protocol or program that establishes the specific sequence in which prescription drugs for a specified medical condition are medically appropriate for a particular patient and are covered by a health benefit plan or that conditions coverage of a prescription medication on a patient first trying an alternative medication without success. The measure requires the granting of a step therapy protocol override in certain circumstances. Finally, the measure requires an insurer that offers a health benefit plan that uses a step therapy protocol to provide (i) written notice of a determination that the protocol requires denial of coverage of a provider's selected prescription drug, (ii) an explanation of the basis for such determination, and (iii) notice of the procedures for submitting a request for an override of the restrictions of the step therapy protocol.

Full text:
01/05/16  House: Prefiled and ordered printed; offered 01/13/16 16102438D  pdf | impact statement

01/05/16  House: Prefiled and ordered printed; offered 01/13/16 16102438D
01/05/16  House: Referred to Committee on Commerce and Labor
01/19/16  House: Assigned C & L sub: Subcommittee #2
01/28/16  House: Subcommittee recommends continuing to 2017 by voice vote
02/02/16  House: Continued to 2017 in Commerce and Labor by voice vote
12/01/16  House: Left in Commerce and Labor