H7539

Limits the use by insurers of step therapy, a protocol that establishes a specific sequence in which prescription drugs for a specified medical condition are covered by an insurer, by allowing medical providers to request step therapy exceptions.

Introduced·2/6/26
Introduced Text

Limits insurers' use of step therapy protocols by allowing medical providers to request exceptions.

This bill restricts insurers' use of step therapy protocols, which establish a specific sequence for covering prescription drugs. It allows medical providers to request exceptions if the required step is contraindicated, ineffective, delays care, disrupts stable treatment, or hasn't been tried. Insurers must provide uninterrupted coverage while the exception is pending and approve or deny requests within specific timeframes. The bill also mandates insurers to share prior authorization requirements and criteria with providers and patients.

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  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Health & Human Services Committee
Next
Committee decision

Sponsors

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10
0
Democratic CaucusRepublican Caucus

Calendar

Mar 24

12:00 AM

House Health & Human Services Hearing

History

Mar 24

House

Committee recommended measure be held for further study

Mar 20

House

Scheduled for hearing and/or consideration (03/24/2026)

Feb 6

House

Introduced, referred to House Health & Human Services