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SD SB155

SD SB155
Provide for step therapy protocol regarding certain prescription drugs.


summary

Introduced
02/05/2020
In Committee
03/03/2020
Crossed Over
02/24/2020
Passed
03/05/2020
Dead
Signed/Enacted/Adopted
03/30/2020

Introduced Session

2020 Regular Session

Bill Summary

AN ACT ENTITLED An Act to provide for step therapy protocol regarding certain prescription drugs.

AI Summary

This bill provides for step therapy protocol regarding certain prescription drugs. It requires health carriers, health benefit plans, and utilization review organizations to consider available recognized evidence-based and peer-reviewed clinical practice guidelines when establishing a step therapy protocol. The bill also establishes a process for covered persons and prescribing health care professionals to request a step therapy override exception, and outlines the circumstances under which such an exception must be approved. The bill applies to individual and group health insurance policies, contracts, and certificates issued by health carriers, as well as self-funded nonfederal governmental plans, and takes effect for plans delivered, issued, or renewed on or after January 1, 2021.

Committee Categories

Government Affairs, Health and Social Services

Sponsors (49)

Mike Diedrich (R)* Kris Langer (R)* Arch Beal (R),  Jim Bolin (R),  Shawn Bordeaux (D),  Scyller Borglum (R),  Jessica Castleberry (R),  Kirk Chaffee (R),  Blake Curd (R),  Drew Dennert (R),  Fred Deutsch (R),  Linda Duba (D),  Helene Duhamel (R),  Mary Duvall (R),  Bob Ewing (R),  Caleb Finck (R),  Red Dawn Foster (D),  Tim Goodwin (R),  Spencer Gosch (R),  Brock Greenfield (R),  Lana Greenfield (R),  Jean Hunhoff (R),  Timothy Johns (R),  David Johnson (R),  Jack Kolbeck (R),  Lance Koth (R),  John Lake (R),  Rhonda Milstead (R),  Jeff Monroe (R),  Jess Olson (R),  Ernie Otten (R),  Jeff Partridge (R),  Kent Peterson (R),  Tom Pischke (R),  Lee Qualm (R),  Nancy Rasmussen (R),  Tim Reed (R),  Rebecca Reimer (R),  Tim Rounds (R),  Kyle Schoenfish (R),  Jamie Smith (D),  Deb Soholt (R),  Jim Stalzer (R),  Manny Steele (R),  Wayne Steinhauer (R),  Jim White (R),  John Wiik (R),  Jordan Youngberg (R),  Larry Zikmund (R), 

Last Action

Signed by the Governor on March 24, 2020 S.J. 558 (on 03/30/2020)

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