Iman Jodeh
- Democratic
- Representative
- District 41
Primary
The act requires the department of health care policy and financing (state department) review and determine if an exception to step therapy is granted if the prescribing provider submits a prior authorization request with justification and supporting clinical documentation for treatment of a serious or complex medical condition. The act requires the state department to provide a response to a prior authorization request for a step-therapy exception within 24 hours after receipt of the request. If a prior authorization request for a step-therapy exception is incomplete or if additional clinically relevant information is required, the act requires the state department to notify the prescribing provider within 24 hours after the submission of the request. If the state department does not receive a response within 72 hours after the state department's request for additional information, the prior authorization is denied. If the prior authorization request is denied, the act requires the state department to inform the recipient in writing that the recipient has a right to appeal the determination. The act requires the state department to authorize coverage for the prescription drug prescribed by the recipient's prescribing provider if the prior authorization request for a step-therapy exception request is granted. The act requires the state department to make the prior authorization requirements for coverage of prescription drugs and a description of the step-therapy exemption process available on the state department's website. The act appropriates $56,250 to the state department from the general fund. APPROVED by Governor May 1, 2023 EFFECTIVE May 1, 2023 (Note: This summary applies to this bill as enacted.)
Governor Signed
Sent to the Governor
Signed by the President of the Senate
Signed by the Speaker of the House
House Considered Senate Amendments - Result was to Concur - Repass
Senate Third Reading Passed - No Amendments
Senate Second Reading Passed with Amendments - Floor
Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole
Senate Committee on Health & Human Services Refer Unamended to Appropriations
Introduced In Senate - Assigned to Health & Human Services
House Third Reading Passed - No Amendments
House Second Reading Special Order - Passed with Amendments - Committee
House Committee on Appropriations Refer Amended to House Committee of the Whole
House Committee on Health & Insurance Refer Amended to Appropriations
| Bill Text Versions | Format |
|---|---|
| Signed Act (05/01/2023) | |
| Final Act (04/20/2023) | |
| Rerevised (04/12/2023) | |
| Revised (04/11/2023) | |
| Reengrossed (03/20/2023) | |
| Engrossed (03/17/2023) | |
| Introduced (02/08/2023) | |
| PA2 (03/17/2023) | |
| PA1 (03/01/2023) | |
| Committee Amendment |
| Document | Format |
|---|---|
| Fiscal Note SA1 (03/15/2023) | |
| Fiscal Note SA2 (04/05/2023) | |
| Fiscal Note FN1 (02/24/2023) | |
| Fiscal Note MEMO1 (02/28/2023) | |
| Fiscal Note FN2 (03/06/2023) | |
| Fiscal Note FN3 (06/20/2023) |
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