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2019 SESSION
HB 2126 Accident and sickness insurance; step therapy protocols.
Introduced by: Glenn R. Davis | all patrons ... notes | add to my profiles
SUMMARY AS PASSED: (all summaries)
Health 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 by a multidisciplinary panel of experts that manages conflicts of interest among the members; (ii) based on peer-reviewed research and medical practice; and (iii) continually updated based on a review of new evidence, research, and newly developed treatments. The measure requires that when coverage of a prescription drug for the treatment of a medical condition is restricted for use by a carrier or utilization review organization through the use of a step therapy protocol, the patient and prescribing provider have access to a clear, readily accessible, and convenient process to request a step therapy exception. The measure establishes conditions under which a request for a step therapy exception shall be granted and authorizes a patient to appeal a step therapy exception request denial. The provisions of the measure shall apply to any health benefit plan delivered, issued for delivery, or renewed on or after January 1, 2020.
FULL TEXT
- 01/08/19 House: Prefiled and ordered printed; offered 01/09/19 19102027D pdf | impact statement
- 01/31/19 House: Committee substitute printed 19106082D-H1 pdf | impact statement
- 02/23/19 House: Bill text as passed House and Senate (HB2126ER) pdf | impact statement
- 03/12/19 Governor: Acts of Assembly Chapter text (CHAP0337) pdf
AMENDMENTS
- House subcommittee amendments and substitutes offered
- House subcommittee amendments and substitutes adopted
- Senate amendments
- Senate amendments engrossed
- Senate amendments not adopted
HISTORY
- 01/08/19 House: Prefiled and ordered printed; offered 01/09/19 19102027D
- 01/08/19 House: Referred to Committee on Commerce and Labor
- 01/15/19 House: Assigned C & L sub: Subcommittee #1
- 01/29/19 House: Subcommittee recommends reporting with substitute (6-Y 2-N)
- 01/31/19 House: Reported from Commerce and Labor with substitute (18-Y 1-N)
- 01/31/19 House: Committee substitute printed 19106082D-H1
- 02/03/19 House: Read first time
- 02/04/19 House: Read second time
- 02/04/19 House: Committee substitute agreed to 19106082D-H1
- 02/04/19 House: Engrossed by House - committee substitute HB2126H1
- 02/05/19 House: Read third time and passed House (99-Y 0-N)
- 02/05/19 House: VOTE: PASSAGE (99-Y 0-N)
- 02/06/19 Senate: Constitutional reading dispensed
- 02/06/19 Senate: Referred to Committee on Commerce and Labor
- 02/18/19 Senate: Reported from Commerce and Labor with amendments (14-Y 0-N)
- 02/18/19 Senate: Rereferred to Finance
- 02/18/19 Senate: Reported from Finance with amendment (15-Y 0-N)
- 02/19/19 Senate: Constitutional reading dispensed (40-Y 0-N)
- 02/20/19 Senate: Read third time
- 02/20/19 Senate: Reading of amendments waived
- 02/20/19 Senate: Committee amendments agreed to
- 02/20/19 Senate: Reading of amendment waived
- 02/20/19 Senate: Committee amendment agreed to
- 02/20/19 Senate: Passed by for the day
- 02/21/19 Senate: Read third time
- 02/21/19 Senate: Finance Committee amendment reconsidered (40-Y 0-N)
- 02/21/19 Senate: Committee amendment rejected
- 02/21/19 Senate: Engrossed by Senate as amended
- 02/21/19 Senate: Passed Senate with amendments (40-Y 0-N)
- 02/21/19 House: Senate amendments agreed to by House (99-Y 0-N)
- 02/21/19 House: VOTE: ADOPTION (99-Y 0-N)
- 02/23/19 House: Enrolled
- 02/23/19 House: Bill text as passed House and Senate (HB2126ER)
- 02/23/19 House: Signed by Speaker
- 02/23/19 Senate: Signed by President
- 03/04/19 House: Enrolled Bill communicated to Governor on March 4, 2019
- 03/04/19 Governor: Governor's Action Deadline Midnight, March 26, 2019
- 03/12/19 Governor: Approved by Governor-Chapter 337 (effective 1/1/20)
- 03/12/19 Governor: Acts of Assembly Chapter text (CHAP0337)