VA HB1755 | 2017 | Regular Session

Status

Spectrum: Bipartisan Bill
Status: Introduced on January 8 2017 - 25% progression, died in committee
Action: 2017-02-08 - Left in Commerce and Labor
Pending: House Commerce and Labor Committee
Text: Latest bill text (Prefiled) [HTML]

Summary

Step therapy protocols; disclosures. Requires health insurers that limit coverage for prescription drugs through the use of a step therapy protocol to have in place a process for a prescribing provider to request an override of the protocol for a patient. A step therapy protocol is a protocol or program that establishes the specific sequence in which prescription drugs for a specified medical condition are medically appropriate for a particular patient and are covered by a health benefit plan or that conditions coverage of a prescription medication on a patient first trying an alternative medication without success. The measure requires the granting of a step therapy protocol override in certain circumstances. Finally, the measure requires an insurer that offers a health benefit plan that uses a step therapy protocol to provide (i) written notice of a determination that the protocol requires denial of coverage of a provider's selected prescription drug, (ii) an explanation of the basis for such determination, and (iii) notice of the procedures for submitting a request for an override of the restrictions of the step therapy protocol.

Tracking Information

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Title

Step therapy protocols; disclosures.

Sponsors


Roll Calls

2017-01-24 - House - House: Subcommittee failed to recommend reporting (4-Y 6-N) (Y: 4 N: 6 NV: 0 Abs: 0) [FAIL]

History

DateChamberAction
2017-02-08HouseLeft in Commerce and Labor
2017-01-24HouseSubcommittee failed to recommend reporting (4-Y 6-N)
2017-01-12HouseAssigned C & L sub: Subcommittee #2
2017-01-08HouseReferred to Committee on Commerce and Labor
2017-01-08HousePrefiled and ordered printed; offered 01/11/17 17101997D

Subjects


Code Citations

ChapterArticleSectionCitation TypeStatute Text
3823407.9:04(n/a)See Bill Text

Virginia State Sources


Bill Comments

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