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CT SB00036
Bill
Status
1/15/2019
Primary Sponsor
Insurance and Real Estate Committee
Click for details
AI Summary
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Prohibits health carriers from requiring step therapy for any prescribed drug longer than 60 days, effective January 1, 2020.
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Prohibits step therapy for drugs treating disabling, chronic, or life-threatening diseases or conditions, expanding beyond the previous limitation to stage IV metastatic cancer.
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Allows treating health care providers to deem step therapy clinically ineffective after 60 days and require insurers to authorize coverage for the prescribed drug.
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Applies to both individual health insurance policies (section 38a-510) and group health insurance policies (section 38a-544).
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Defines step therapy as a protocol establishing the specific sequence in which prescription drugs for a medical condition are to be prescribed.
Legislative Description
An Act Prohibiting Health Carriers From Requiring The Use Of Step Therapy For Drugs Prescribed To Treat Disabling, Chronic Or Life-threatening Diseases Or Conditions.
Last Action
Referred to Joint Committee on Insurance and Real Estate
3/8/2019