New Hampshire HB1638 creates a bypass mechanism for health insurer step therapy protocols when medically necessary.

New Hampshire HB1638 amends the state's insurance laws to establish a bypass mechanism for health insurer step therapy protocols when medically necessary. The bill requires health carriers to approve or deny requests for step therapy override exceptions within specific timeframes, depending on the urgency of the request. It also mandates that clinical review criteria for step therapy protocols be based on clinical practice guidelines, developed by multidisciplinary panels of experts, and supported by peer-reviewed, evidence-based literature.

New Hampshire HB1638 creates a bypass mechanism for health insurer step therapy protocols when medically necessary.

New Hampshire HB1638 amends the state's insurance laws to establish a bypass mechanism for health insurer step therapy protocols when medically necessary. The bill requires health carriers to approve or deny requests for step therapy override exceptions within specific timeframes, depending on the urgency of the request. It also mandates that clinical review criteria for step therapy protocols be based on clinical practice guidelines, developed by multidisciplinary panels of experts, and supported by peer-reviewed, evidence-based literature.