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

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
State Law

Washington Admin Code-Title 284-Chapter 284-43-Subchapter D. Prior Authorization and Utilization Review

08/26/2023 Washington Sections 284-43-2021, 284-43-2022 and 284-43-5100

Prescription drug utilization management exception and substitution process; Time frame for exception and substitution request determinations; Formulary changes

Anti-retaliation, Step Therapy Override
State Law

Nebraska Rev. Statutes-Chapter 44. Insurance

08/10/2023 Nebraska Sections 44-7,112 through 44-7,117

Terms, defined; Health carrier or utilization review organization; step-therapy protocol, clinical review criteria; Step-therapy override exception, process; Step-therapy override exception, approval, procedure, effect; Rules and regulations; Act, applicability.

Step Therapy Override
State Law

Ariz. Rev. Statutes-Title 20. Insurance-Chapter 30-Article 1. General Provisions

07/28/2023 Arizona Sections 20-3651 through 20-3654

Definitions; Applicability; Clinical review criteria; Exceptions; process

 

Step Therapy Override
State Law

South Dakota Codified Laws-Title 58-Chapter. 17H. Utilization Review and Benefit Determinations

08/24/2023 South Dakota Section 58-17H-55

Step therapy override exceptions

Step Therapy Override