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SB17-203

Prohibit Carrier From Requiring Alternative Drug

Type Bill
Session 2017 Regular Session
Subjects
Health Care & Health Insurance

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.

Bill Summary:

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.)

Status

Became Law

Introduced

Passed

Became Law

Related Documents & Information

Date Version Documents
06/02/2017 Signed Act PDF
05/18/2017 Final Act PDF
04/18/2017 Rerevised PDF
04/13/2017 Revised PDF
03/22/2017 Reengrossed PDF
03/21/2017 Engrossed PDF
02/28/2017 Introduced PDF
Date Version Documents
04/12/2017 PA2 PDF
03/16/2017 PA1 PDF
Date Version Documents
09/14/2017 FN3 PDF
04/03/2017 FN2 PDF
03/14/2017 FN1 PDF
Activity Vote Documents
Adopt amendment L.019 (Attachment B) to Senate Bill 17-203. The motion passed on a vote of 8-3. Vote summary
Refer Senate Bill 17-203, as amended, to the Committee of the Whole. The motion passed on a vote of 8-3. Vote summary
Activity Vote Documents
Adopt amendment L.013. The motion passed on a vote of 5-2. Vote summary
Refer Senate Bill 17-203, as amended, to the Committee of the Whole. The motion passed on a vote of 7-0. Vote summary
Date Calendar Motion Vote Vote Document
04/27/2017 Conference Committee Report REPASS
61
AYE
0
NO
4
OTHER
Vote record
04/27/2017 Conference Committee Report RECEDE
61
AYE
0
NO
4
OTHER
Vote record
04/18/2017 Third Reading BILL
44
AYE
21
NO
0
OTHER
Vote record
04/13/2017 Committee of the Whole AMD (L.022)
24
AYE
41
NO
0
OTHER
Vote record
Date Calendar Motion Vote Vote Document
04/25/2017 House Amendments ADHERE
33
AYE
1
NO
1
OTHER
Vote record
03/22/2017 Third Reading BILL
35
AYE
0
NO
0
OTHER
Vote record
Date Location Action
06/02/2017 Governor Governor Signed
05/18/2017 Governor Sent to the Governor
05/18/2017 House Signed by the Speaker of the House
05/18/2017 Senate Signed by the President of the Senate
04/27/2017 Senate House Considered Senate Adherence - Result was to Recede
04/25/2017 Senate Senate Considered House Amendments - Result was to Adhere
04/19/2017 Senate Senate Considered House Amendments - Result was to Laid Over Daily
04/18/2017 House House Third Reading Passed - No Amendments
04/17/2017 House House Third Reading Laid Over Daily - No Amendments
04/13/2017 House House Second Reading Special Order - Passed with Amendments - Committee
04/11/2017 House House Committee on Health, Insurance, & Environment Refer Amended to House Committee of the Whole
03/23/2017 House Introduced In House - Assigned to Health, Insurance, & Environment
03/22/2017 Senate Senate Third Reading Passed - No Amendments
03/21/2017 Senate Senate Second Reading Passed with Amendments - Committee, Floor
03/20/2017 Senate Senate Second Reading Laid Over Daily - No Amendments
03/15/2017 Senate Senate Committee on Business, Labor, & Technology Refer Amended to Senate Committee of the Whole
02/28/2017 Senate Introduced In Senate - Assigned to Business, Labor, & Technology
Effective Date Chapter # Title Documents
09/01/2017 296 Prohibit Carrier From Requiring Alternative Drug PDF