Requires disclosure of non-confidential information regarding step therapy override requests and determinations on a public website.
This bill mandates that health care plans and utilization review agents disclose non-confidential information about step therapy override requests and determinations on a website accessible to the public. The disclosed information must include the number of requests received, the type of health care providers submitting requests, the number of requests initially denied and approved, and the number of requests reversed on internal appeal. This information must be organized by individual drug name and drug category and class.
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- Core Provisions
- Implementation
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- Legal Framework
- Critical Issues
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