Michigan HB5988 modifies health insurer coverage for step therapy protocols.

Michigan HB5988 amends the state's insurance laws to modify coverage for step therapy protocols. Insurers must provide a program for synchronizing multiple maintenance prescription drugs for insureds if certain conditions are met. Insurers must also establish a process for health care providers to request exceptions to step therapy protocols. The bill outlines specific criteria for granting or denying such exceptions, including timelines for processing requests. Insurers must report annually on the number of exception requests received, denied, and approved.

Michigan HB5988 modifies health insurer coverage for step therapy protocols.

Michigan HB5988 amends the state's insurance laws to modify coverage for step therapy protocols. Insurers must provide a program for synchronizing multiple maintenance prescription drugs for insureds if certain conditions are met. Insurers must also establish a process for health care providers to request exceptions to step therapy protocols. The bill outlines specific criteria for granting or denying such exceptions, including timelines for processing requests. Insurers must report annually on the number of exception requests received, denied, and approved.