SB17-203

SB17-203 - Prohibit Carrier From Requiring Alternative Drug

Passed/Signed into Law
Concerning the prohibition against a carrier requiring a covered person to undergo step therapy, and, in connection therewith, requiring coverage for a prescribed medication that is part of the carrier's medication formulary.

The bill prohibits a carrier from requiring a covered person to undergo step therapy:

 

  • When being treated for a terminal condition; or
  • If the covered person has tried a step-therapy-required drug under a health benefit plan and the drug was discontinued by the manufacturer.

A carrier that requires step therapy must have an override process for health care providers.

'Step therapy' is defined as a protocol that requires a covered person to use a prescription drug or sequence of prescription drugs, other than the drug that the covered person's health care provider recommends for the covered person's treatment, before the carrier provides coverage for the recommended drug.

(Note: This summary applies to this bill as introduced.)

 

Latest update: June 2, 2017
06/02/2017 - Governor Signed
05/18/2017 - Sent to the Governor
05/18/2017 - Signed by the Speaker of the House
05/18/2017 - Signed by the President of the Senate
04/27/2017 - House Considered Senate Adherence - Result was to Recede
04/25/2017 - Senate Considered House Amendments - Result was to Adhere
04/24/2017 - Senate Considered House Amendments - Result was to Laid Over Daily
04/21/2017 - Senate Considered House Amendments - Result was to Laid Over Daily
04/20/2017 - Senate Considered House Amendments - Result was to Laid Over Daily
04/19/2017 - Senate Considered House Amendments - Result was to Laid Over Daily
04/18/2017 - House Third Reading Passed - No Amendments
04/17/2017 - House Third Reading Laid Over Daily - No Amendments
04/13/2017 - House Second Reading Special Order - Passed with Amendments - Committee
04/11/2017 - House Committee on Health, Insurance, & Environment Refer Amended to House Committee of the Whole
03/23/2017 - Introduced In House - Assigned to Health, Insurance, & Environment
03/22/2017 - Senate Third Reading Passed - No Amendments
03/21/2017 - Senate Second Reading Passed with Amendments - Committee, Floor
03/20/2017 - Senate Second Reading Laid Over Daily - No Amendments
03/15/2017 - Senate Committee on Business, Labor, & Technology Refer Amended to Senate Committee of the Whole
02/28/2017 - Introduced In Senate - Assigned to Business, Labor, & Technology