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Measure details
Measure Title: RELATING TO PRESCRIPTION DRUGS.
Report Title: Health Insurance; Prescription Drugs; Step Therapy Protocol; Clinical Review Criteria; Clinical Practice Guidelines; Exceptions
Description: Establishes requirements for the clinical review criteria and clinical practical guidelines used to establish step therapy protocols. Provides a process for a patient to request an exception to using step therapy protocols. Establishes insurance coverage requirements relating to the use of step therapy protocols and standards to appeal an adverse step therapy exception determination.
Companion:  HB216
Package: None
Current Referral: HHS, CPN
Introducer(s): ELEFANTE, CHANG, DECOITE
Act:

Measure Status History

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DateChamberStatus Text
12/8/2025DCarried over to 2026 Regular Session.
1/17/2025SReferred to HHS, CPN.
1/15/2025SIntroduced and passed First Reading.
1/13/2025SPending Introduction.

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