SB00331

An Act Concerning Step Therapy Requirements For Prescription Drugs Covered Under The Medicaid Program And Required Notice To Enrollees Of Prescription Drug Payment Suspensions, Denials Or Imposition Of New Requirements.

Introduced·2/26/26

Connecticut SB00331 regulates step therapy requirements for prescription drugs under Medicaid, limiting duration and requiring coverage if deemed.

Connecticut SB00331 modifies Medicaid's step therapy requirements for prescription drugs. It mandates that step therapy durations must follow evidence-based guidelines from the drug manufacturer or FDA, or be no longer than 30 days. If a treatment is deemed ineffective after this period, the prescribed drug must be covered by Medicaid. This change affects Medicaid enrollees who require prescription drugs, ensuring they receive necessary treatments without excessive delays.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
In committee
Next
Committee decision

Sponsors

DD
2
0
Democratic CaucusRepublican Caucus

Roll Call Votes

52 Yea

DDDDRDDDDDDDDDRDDDRDDDRDDDRDDDRDDDRDRDDDRDDDRDDRRRDD

0 Nay

1 Absent

D

Calendar

Mar 3

12:00 AM

Human Services Public Hearing

History

Apr 27

Senate

Reported Out of Legislative Commissioners' Office

Apr 27

Senate

No New File by Committee on Appropriations

Apr 27

Senate

Favorable Report, Tabled for the Calendar, Senate