State Laws

Search state statutes and regulations in all 50 states and the District of Columbia to find out what rights you have in your state and what other states are doing to empower physicians and patients in the face of health insurer market power.

State Law

California Code of Regulations-Title 10-Chapter 5-Subchapter 2. Policy Forms and Other Documents

05/08/2025 California Section 2218.30

Prescription Drug Prior Authorization or Step Therapy Exception Requests; Form and Procedure

Step Therapy Override
State Law

California Code of Regulations Title 28-Managed Health Care Division 1-The Department of Managed Health Care Chapter 2-Health Care Service Plans Article 7-Standards

05/08/2025 California Section 1300.67.241

Prescription Drug Prior Authorization or Step Therapy Exception Request Form Process

Step Therapy Override
State Law

Illinois Compiled Statutes-215 ILCS 134/-Managed Care Reform and Patient Rights Act

04/19/2025 Illinois Section 134/10

Definitions

Medical Necessity-Definition, Step Therapy Override, U.R. Criteria
State Law

Vermont Statutes-Title 8-Chapter 107-Subchapter 001. Generally

01/15/2025 Vermont Section 4089i

Prescription drug coverage

Step Therapy Override
State Law

Oklahoma Statutes. Title 63. Public Health and Safety

07/24/2023 Oklahoma Section 7330, added by HB 1736 (2023)

Step therapy protocol

Step Therapy Override
State Law

The Insurance Company Law of 1921 (P.L.682, No.284)

08/21/2023 Pennsylvania Sections 2102 and 2156

Definitions; Step therapy considerations

Step Therapy Override
Ama Policy

Medicare Advantage Step Therapy D-320.984

09/02/2022
Step Therapy Override
State Law

Tennessee Code-Title 56-Chapter 7-Part 35. Exceptions to Step Therapy Protocols

08/24/2023 Tennessee Sections 56-7-3501; 56-7-3502; 56-7-3503; 56-7-3504

Part definitions; Exception process; Rulemaking; Applicability. 

Step Therapy Override
State Law

Arkansas Insurance Department-Rule 107

07/28/2023 Arkansas Rule 107

Regulation of medication step therapy protocols

Step Therapy Override
State Law

Arkansas Code-Title 23-Subtitle 3-Chapter 79-Subchapter 21. Regulation of Step Therapy Protocols

04/04/2023 Arkansas Section 23-79-2101 through 23-79-2105

Legislative findings and intent; Definitions; Clinical review criteria; Exceptions — Transparency; Applicability.

Step Therapy Override