Issue for Action: Step Therapy
Step Therapy Reform (SF2897/HF3196)
Step Therapy, also known as fail first, is a cost savings tool used by health insurers to manage access to medications. Step therapy, or fail first, is a process that requires individuals who have been prescribed certain medications to try and fail one or more medications preferred by the insurer before receiving the originally prescribed drug. The bill would require insurers to streamline step therapy requirements by providing a process for doctors and patients to override step therapy requirements when medically necessary, along with other protections.
Links to the bills are below: