Relating to the use of step therapy protocols, including step therapy override protocols, under the Medicaid program

Where it is now

1. ✓
   Done: IntroducedFebruary 4, 2019
2. ✕
   Stopped: SubcommitteeDied when the General Assembly ended
3. Next: House committee
4. Next: Passes the House
5. Next: Senate committee
6. Next: Passes the Senate
7. Next: To the Governor
8. Next: Signed into law

Died when the session ended The 2020 session adjourned on June 14, 2020, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?

What’s in it

This bill directs the department of human services (DHS) to adopt administrative rules and to amend Medicaid managed care contracts to require the use of step therapy protocols, including step therapy override protocols, as specified in Code section 514F.7, under both Medicaid fee-for-service and managed care reimbursement and delivery systems. The bill also amends Code section 514F.7 to eliminate the exclusion from the definition of “health carrier” of Medicaid managed care organizations, thereby requiring Medicaid managed care organizations as health carriers to use step therapy protocols for Medicaid members.

Full bill text¹