Establishes requirements for the clinical review criteria and clinical practical guidelines used to establish step therapy protocols. Provides a process for a patient to request an exception to using step therapy protocols. Establishes insurance coverage requirements relating to the use of step therapy protocols and standards to appeal an adverse step therapy exception determination.
- Chamber
- House
- Introduced
- Jan 15, 2025
- Last action
- Jan 15, 2025 — Pending introduction.
- Session
- 2026
- Momentum
- 40 · Moderate