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

Introduced By

Sen. Bill DeSteph (R-Virginia Beach) with support from co-patrons Sen. Adam Ebbin (D-Alexandria), Sen. Jennifer McClellan (D-Richmond), and Sen. Scott Surovell (D-Mount Vernon)


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 »


Bill Has Failed


01/09/2018Prefiled and ordered printed; offered 01/10/18 18102150D
01/09/2018Referred to Committee on Commerce and Labor
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)
11/30/2018Left in Finance