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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.

To search for an exact phrase, you should enclose the entire phrase in quotation marks. For example, "patient care".
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State Law

LA. Rev. Statutes-Title 22. Insurance

02/02/2025 Louisiana Section 22:1053

Requirement for coverage of step therapy or fail first protocols; prohibitions; definitions

Step Therapy Override
State Law

Georgia Code-Title 33-Chapter 24-Article 1-General Provisions

08/01/2023 Georgia Section 33-24-59.25

Establishment by health benefit plans of step therapy protocols; exception process; time requirements; appeals; construction; application

Step Therapy Override
State Law

Title XXXVII-Chapter 641-Part I. Health Maintenance Organizations

08/01/2023 Florida Section 641.31

Health maintenance contracts

Step Therapy Override
State Law

Title XXXVII-Chapter 627-Part II. The Insurance Contract

08/01/2023 Florida Section 627.42393

Step-therapy protocol

Step Therapy Override
State Law

Delaware Code-Title 18-Chapter 35-Subchapter V. Pre-Authorization Transparency

08/01/2023 Delaware Section 3591

Step Therapy Exception Process

Step Therapy Override, U.R. Criteria
State Law

Delaware Code-Title 18-Chapter 35-Subchapter V. Pre-Authorization Transparency

08/01/2023 Delaware Section 3581

Definitions

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

Delaware Code-Title 18-Chapter 33-Subchapter II. Pre-Authorization Transparency

08/01/2023 Delaware Section 3381

Step Therapy Exception Process

Step Therapy Override, U.R. Criteria
Ama Policy

Third Party Payer Quantity Limits H-185.942

08/29/2023
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines, Step Therapy Override, U.R. Criteria
Ama Policy

Prior Authorization Requirements for Post-Operative Opioids: H-95.919

10/14/2019
ERISA-Med. Nec. Decisions-Deadlines, Med. Adv.-Med. Nec. Appeals-Deadlines, Step Therapy Override
State Law

Colorado Code Of Regs-3 CCR 702-4 Series 4-2

07/31/2023 Colorado Regulation 4-2-64

Concerning Mental Health Parity In Health Benefit Plans

Step Therapy Override