Wisconsin 2025-2026 Regular Session

Wisconsin Assembly Bill AB774

Introduced
12/17/25  
Refer
12/17/25  

Caption

Prohibiting step therapy protocols for certain cancer drugs.

Impact

If enacted, AB774 would significantly impact the treatment landscape for patients suffering from metastatic cancer. The bill seeks to streamline the process by ensuring that patients can access necessary medications without the delay and restrictions that often accompany step therapy protocols. This legislative move is intended to ensure that critically ill patients receive prompt and effective treatment, aligning with best practices in oncology care. Moreover, the prohibition on step therapy for specific cancer drugs could set a precedent for future regulations regarding patient access to necessary medications across a broader spectrum of health issues.

Summary

Assembly Bill 774 aims to eliminate the requirement for step therapy protocols for medications prescribed to treat metastatic cancer or cancer-associated conditions. Under this proposal, insurers, pharmacy benefit managers, and utilization review organizations will no longer be able to mandate a sequence of prescribed drugs before allowing access to the specific necessary drug, provided that the medication is approved by the FDA and supported by evidence-based research. The bill defines metastatic cancer and associated health conditions, emphasizing the urgency and complexity of treating such conditions effectively.

Contention

While the bill has received support from various stakeholders advocating for cancer patients' rights, it is not without contention. Opponents may argue that eliminating step therapy could lead to increased costs for insurers and potentially overprescription of expensive cancer drugs without prior evaluations. There are concerns about balancing patient needs with cost control in healthcare. Proponents of the bill argue that the benefits, in terms of patient health outcomes and quality of life, outweigh these potential concerns.

Companion Bills

WI SB765

Crossfiled Prohibiting step therapy protocols for certain cancer drugs.

Previously Filed As

WI SB765

Prohibiting step therapy protocols for certain cancer drugs.

WI SB646

Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols

WI HB970

Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols

WI SB921

Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer

WI SF2071

Step therapy use protocol for insulin drugs prohibition

WI HB856

Advanced, metastatic cancer; delete repealer on prohibition against health plans requiring step therapy before covering certain drugs to treat.

WI HB1638

creating a bypass mechanism for health insurer step therapy protocols when medically necessary.

WI HB944

Advanced, metastatic cancer; extend and codify repealer on prohibition against health plans requiring step therapy before covering certain drugs to treat.

WI S0070

Step-therapy Protocols

WI S0264

Step-therapy Protocols

Similar Bills

No similar bills found.