Governor signs bill mandating more opt-out information on step therapy programs
By Jesse Scheckner
April 7, 2022
Excerpt from Florida Politics
Managed care plans and insurance companies will soon have to provide customers with more information about step therapy programs, including how to opt out of them, thanks to a bill Gov. Ron DeSantis just signed into law.
On Wednesday, DeSantis signed HB 459, which establishes protocols managed care plans and insurance companies must follow for programs with specific sequences in which prescription drugs, medical procedures and other treatments must be used for a health condition.
Such a program — which includes the initial use of cost-effective, less-risky drug therapies and a progression to costlier and riskier therapies if necessary — is known as a “step therapy” or “first fail requirement” program.