SB307
Log in to followAN ACT relating to step therapy protocols.
Amend KRS 304.17A-163 to modify the definition of "health plan"; require insurers, health plans, private review agents, and pharmacy benefit managers to disclose certain information about step therapy protocols on their website and ensure that the electronic process for requesting and transmitting prior authorization for a drug includes the ability for prescribing providers to electronically transmit a complete request for a step therapy exception; require coverage for a prescription drug on the date the provider…
Introduced: February 27, 2026
Last action: February 27, 2026
Plain-language summary
This bill updates rules around "step therapy," a practice where insurers require patients to try lower-cost medications before approving a prescribed drug. It would require insurers, health plans, and pharmacy benefit managers to publicly post information about their step therapy rules and allow doctors to electronically request exceptions to those rules. It also requires that a prescribed drug be covered starting on the date a doctor submits an exception request, and extends these protections to…
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