Prohibits prior authorization, step therapy for medications prescribed for rare diseases.
Medical necessity determination must be completed by a health care professional from the same or similar practice specialty that typically manages the disease or condition.
Medical necessity to be determined within 7 days, 24 hours for emergency cases.
Determinations not completed within specified time limits will be deemed approved.
Legislative History
On Feb. 7, 2025, bill introduced in Senate; on Mar. 8, 2025, bill passed in Senate.
On Mar. 10, 2025, bill introduced in House; on Mar. 18, 2025, bill passed in House.
On Apr. 7, 2025, SB 39 was signed by the governor, assigned Chapter 57.
Effectiveness
Bills without effective dates specified in bill text or emergency clauses become effective 90 days after adjournment of the Legislature, so effective on Jun. 20, 2025.
Applies to individual or group policies entered into, offered, issued after Jul. 1, 2025.
