CT SB00394

Prohibits insurers from requiring step therapy for prescription drugs longer than 60 days; after 60 days, a treating health care provider may deem the regimen clinically ineffective and require coverage of the prescribed drug.

Requires insurers using step therapy to establish and disclose to health care providers a process for requesting overrides at any time, which must be granted expeditiously when the provider demonstrates the regimen has been ineffective, is expected to be ineffective, will cause harm, or is not in the patient's best interest.

Authorizes coverage of any override-approved drug prescribed by a treating health care provider, provided the drug is covered under the patient's policy or contract.

Applies to all insurers, hospital service corporations, medical service corporations, health care centers, and other entities delivering, issuing, or continuing individual or group health insurance policies with prescription drug coverage.

Effective January 1, 2015; does not preclude patients or providers from requesting reviews under existing appeal procedures or affect other insurance regulations.