Nevada 2023 Regular Session

Nevada Senate Bill SB194

Introduced
2/23/23  
Refer
2/23/23  
Report Pass
4/18/23  
Engrossed
4/26/23  
Refer
4/26/23  
Report Pass
5/19/23  
Enrolled
5/26/23  
Chaptered
6/1/23  

Caption

Revises provisions relating to step therapy protocols. (BDR 57-885)

Impact

The impact of SB194 on state laws is significant as it establishes a legal framework that enforces how health maintenance organizations and insurers handle step therapy protocols. By requiring adherence to medically sound principles, the bill aims to safeguard patient interests, particularly for those with serious or chronic conditions who may face adverse effects from prescribed therapies that do not suit their unique medical situations. Importantly, this bill will come into force for new insurance policies on January 1, 2024, adding an element of urgency for insurers to revise their protocols before this deadline.

Summary

Senate Bill No. 194 aims to revise regulations pertaining to step therapy protocols in health insurance. It mandates that insurers must utilize evidence-based guidelines when developing these protocols, ensuring that the protocols align with contemporary medical or scientific understanding. Insurers are required to establish a straightforward process for patients and their attending practitioners to apply for exemptions from these protocols as well as to appeal decisions made regarding these requests. Such measures are intended to enhance patient access to necessary medications, particularly for conditions that may not respond well to standard protocols.

Contention

Despite its intended benefits, the bill has encountered some points of contention. Opponents may argue that the implementation of such regulations could increase administrative burdens on insurers, potentially leading to higher costs that could be passed on to consumers. Furthermore, while the requirement for insurers to respond to exemption requests in a timely manner is a positive development for patient care, it raises concerns about compliance and the potential for delays in medication access if processes are not streamlined effectively. The challenge will be balancing thorough oversight with practical administrative feasibility for health insurers.

Companion Bills

No companion bills found.

Previously Filed As

NV SB140

AN ACT relating to step therapy protocols.

NV AB463

Revises provisions relating to prior authorization. (BDR 57-825)

NV HB220

AN ACT relating to step therapy protocols.

NV SB59

Provides relative to coverage of step therapy or fail first protocols. (8/1/20)

NV H0459

Step-therapy Protocols

NV H0721

Step-therapy Protocols

NV HB263

Provides for insurance coverage of step therapy or fail first protocols

NV A1825

Establishes certain guidelines for SHBP, SEHBP, and Medicaid concerning step therapy protocols.

NV S3533

Establishes certain guidelines for SHBP, SEHBP and Medicaid concerning step therapy protocols.

NV S308

Establishes certain guidelines for health insurance carriers concerning step therapy protocols.

Similar Bills

NV SB167

Prohibits the imposition of step therapy under certain circumstances. (BDR 57-81)

NJ A1825

Establishes certain guidelines for SHBP, SEHBP, and Medicaid concerning step therapy protocols.

NJ S3533

Establishes certain guidelines for SHBP, SEHBP and Medicaid concerning step therapy protocols.

NJ A2010

Establishes certain guidelines for health insurance carriers concerning step therapy protocols.

NJ S308

Establishes certain guidelines for health insurance carriers concerning step therapy protocols.

HI HB216

Relating To Prescription Drugs.

HI SB226

Relating To Prescription Drugs.

MS SB2675

Pharmacists; authorize to test for and administer treatment for minor, nonchronic health conditions.