Step therapy protocols; health benefits, disclosure of information. (SB574)

Introduced By

Sen. Bill DeSteph (R-Virginia Beach) with support from co-patron Sen. Adam Ebbin (D-Alexandria)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Step therapy protocols. Requires health benefit plans that restrict the use of any prescription drug through the use of a step therapy protocol to have in place a clear, convenient, and expeditious process for a prescribing medical provider to request an override of such restrictions for a patient. A step therapy protocol is a protocol or program that (i) establishes the specific sequence in which prescription drugs for a specified medical condition are medically appropriate for a particular covered person and are covered by a health benefit plan or that (ii) conditions coverage of a prescription medication on a patient's first trying an alternative medication without success. The measure requires the granting of a step therapy protocol override if any of certain conditions are satisfied. Read the Bill »


02/06/2018: Failed to Pass in Committee


01/09/2018Prefiled and ordered printed; offered 01/10/18 18102150D
01/09/2018Referred to Committee on Commerce and Labor
01/22/2018Impact statement from SCC (SB574)
01/25/2018Impact statement from SCC (SB574)
01/29/2018Reported from Commerce and Labor (8-Y 6-N) (see vote tally)
01/29/2018Rereferred to Finance
02/06/2018Continued to 2019 in Finance (16-Y 0-N) (see vote tally)