Rhode Island S2468 limits insurers' use of step therapy protocols by allowing medical providers to request exceptions.

Rhode Island S2468 amends the Benefit Determination and Utilization Review Act to limit insurers' use of step therapy protocols. Step therapy is a protocol that establishes a specific sequence in which prescription drugs for a specified medical condition are covered by an insurer. The bill allows medical providers to request exceptions to step therapy protocols under certain conditions. It also requires insurers to provide the office of the health insurance commissioner with information and documents to evaluate whether step therapy protocols delay or deny medically necessary care.

Rhode Island S2468 limits insurers' use of step therapy protocols by allowing medical providers to request exceptions.

Rhode Island S2468 amends the Benefit Determination and Utilization Review Act to limit insurers' use of step therapy protocols. Step therapy is a protocol that establishes a specific sequence in which prescription drugs for a specified medical condition are covered by an insurer. The bill allows medical providers to request exceptions to step therapy protocols under certain conditions. It also requires insurers to provide the office of the health insurance commissioner with information and documents to evaluate whether step therapy protocols delay or deny medically necessary care.