New Hampshire HB1638 creates a bypass mechanism for health insurer step therapy protocols when medically necessary.
New Hampshire HB1638 amends RSA 420-J to establish a bypass mechanism for health insurer step therapy protocols when medically necessary. The bill allows for exceptions to step therapy protocols based on medical necessity, including contraindications, adverse reactions, and ineffectiveness. 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.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.