Iowa House File 233 Of 2017, An Act Relating To Step-Therapy Insurance Coverage

On May 11, 2017, the Iowa House of Representatives released File 233 of 2017: an act relating to step-therapy insurance coverage. The File 233 of 2017 provides that when a step therapy protocol is in use, the person participating in a health benefit plan, or the person’s prescribing health care professional, must have access to a clear, readily accessible “step therapy override exception,” which authorizes the expedited coverage of a prescription drug selected by the prescribing health care professional, based on the review of the exception request along with supporting rationale and documentation. Step therapy protocol establishes a . . .