Easier Access to Medications: Ending Treatment Barriers
This new law makes it easier for citizens to access necessary medications by removing the requirement to try cheaper alternatives if a doctor deems them ineffective or harmful. This means patients will receive appropriate treatment faster, potentially improving their health and quality of life. Insurers will need to implement clear appeal procedures and process exception requests more quickly.
Key points
Patients can request an exception to "step therapy" if prescribed drugs are ineffective, harmful, or delay treatment.
Health insurers must establish a clear and prompt process for exception requests, with deadlines of up to 72 hours (or 24 hours in urgent cases).
An approved step therapy exception guarantees drug coverage for at least one year.
Insurers will be required to report data on exception requests, increasing system transparency.
Status:
Introduced
Civic Will
Why does your vote on bills matter?
It creates raw, undeniable proof. Civic Will provides the permanent data to verify the Government's loyalty towards its citizens
(explained here).
Start recording it now.