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HB105 – Reforming the Insurance Step Therapy Process

New State Representative Melissa Minor Brown has introduced House Bill 105, which would reform an insurance company practice called Step Therapy.

Step Therapy protocols are a mechanism by which health insurance companies require patients to try one or more prescriptions drugs before coverage is provided for the actual drug prescribed by the patient’s health care provider. Generally speaking, the drugs used first are cheaper or generic versions of the actually prescribed drugs.

This bill would create a Step Therapy Exception Process whereby patients who are required by their insurance company to go through step therapy protocols can, under certain circumstances, bypass step therapy to obtain the initially-prescribed medication.

WHERE IS THE BILL? House Economic Development/ Banking/ Insurance & Commerce Committee 3/21/19

DEMOCRATIC SPONSORS – Minor-Brown, McBride, Poore, Hansen, Paradee, Sokola, Townsend, Baumbach, Bentz, Bolden, Brady, Cooke, Dorsey Walker, Heffernan, K.Johnson, Kowalko, Longhurst, Matthews, Osienski, Viola, K.Williams

REPUBLICAN SPONSORS – Pettyjohn, Briggs King

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