HB 1363 – Florida
Introduced: 2019 Status: Inactive / Dead
Prohibits specified changes to certain insurance policy prescription drug formularies; requires small employer carriers to limit specified changes to prescription drug formularies under certain health benefit plans; prohibits certain health maintenance organizations from making specified …
HB 1370 – Colorado
Introduced: 2022 Status: Enacted
Concerning coverage requirements for health-care products, and, in connection therewith, making an appropriation. Beginning in 2023, the bill requires each health insurance carrier (carrier) that offers an individual or small group health benefit plan in …
HB 1469 – North Dakota
Introduced: 2019 Status: Enacted Year Enacted: 2019
A BILL for an Act to create and enact section 19-02.1-16.3 of the North Dakota Century Code, relating to pharmacy benefits manager step therapy protocols.
HB 15 (see companion bill SB 326) – Hawaii
Introduced: 2021 Status: Inactive / Dead
Imposes dollar limits on specialty tiers in order to protect patients from unaffordable coinsurance or copayment amounts. Limits patients’ coinsurance or copayment fees for specialty tier drugs to $150 per month for up to a …
HB 153 – Ohio
Introduced: 2021 Status: Inactive / Dead
Prohibits health insurers from taking certain actions with respect to drugs during a health benefit plan year, including increasing cost-sharing, reducing coverage, and removing drugs from plan formularies.
HB 1546 – Illinois
Introduced: 2023 Status: In Process
Amends the Workers’ Compensation Act. Provides that the Illinois Workers’ Compensation Commission, upon consultation with the Workers’ Compensation Medical Fee Advisory Board, shall adopt an evidence-based drug formulary. Requires prescriptions in workers’ compensation cases to …
HB 156 – Ohio
Introduced: 2017 Status: Enacted
Address vision care insurance limits: Requires vision insurance providers to make a statement on each policy that says a patient may be charged out-of-network prices if they are not covered under the plan’s benefits.
HB 1612 – Florida
Introduced: 2021 Status: Inactive / Dead
Prescription Drug Coverage; Requiring individual and group health insurers to provide notice of prescription drug formulary changes to current and prospective insureds and the insureds’ treating physicians; specifying requirements for a notice of medical necessity …
HB 1736 – Oklahoma
Introduced: 2023 Status: In Process
requires health benefit plans to implement a clear and transparent process for a participant or beneficiary with CRF-COPD to request an exception to step therapy protocol and cover the requested treatment. An exemption may be …
HB 1754 (see companion bill SB 622) – Texas
Introduced: 2023 Status: Inactive / Dead
Relating to the disclosure of certain prescription drug information by a health benefit plan.
HB 183 (see companion bill SB 112) – Florida
Introduced: 2023 Status: Inactive / Dead
Medicaid Step-therapy Protocols for Drugs for Serious Mental Illness Treatments: Defines “serious mental illness”; requires AHCA to approve drug products for Medicaid recipients for treatment of serious mental illness without step-therapy prior authorization; directs agency …
HB 199 – Florida
Introduced: 2017 Status: Inactive / Dead
STEP THERAPY PROTOCOLS: Defines “step therapy”; prohibits health insurers & health maintenance organizations from requiring insureds or subscribers to repeat step therapy protocols; provides that certain health insurers & health maintenance organizations may impose specified …
HB 2046 – Oregon
Introduced: 2021 Status: Enacted
Requires insurer to provide specified notice to insured or prospective insured enrolled in short term health insurance policy.
HB 2120 (see companion bill SB 93) – Kansas
Introduced: 2019 Status: Inactive / Dead
AN ACT concerning health and healthcare; relating to health insurance plans; prescription medication; step therapy protocols. SB 93 would require health insurance plans to consider available recognized evidencebased and peer-reviewed clinical practice guidelines when establishing …
HB 2126 – Virginia
Introduced: 2019 Status: Enacted
Accident and sickness insurance; step therapy protocols: Requires carriers issuing health benefit plans that develop step therapy protocols for a health benefit plan to ensure that those step therapy protocols are (i) developed and endorsed …
HB 2157 – Kansas
Introduced: 2021 Status: Inactive / Dead
Establishing restrictions on the use of step therapy protocols by health insurance plans.