LOU LEG Step Therapy Ins Coverage


On May 24, LOU LEG passed bill on step therapy or fail first protocols.


  • LOU LEG reported passage of bill HB 839 relating to step therapy or fail first protocols.
  • Amends LOU INS 22:1053(A)(1) on step therapy protocols, enacts LOU INS 22:1053.
  • Bill Provisions
  • A coverage plan shall not subject a prescription or order for a ventilator to any step therapy or fail first protocol when ventilator requires frequent or substantial servicing.
  • There is clinical evidence or patient history that suggests alternative treatments required under protocol will be less effective or cause an adverse reaction to patient.
  • Legislative History
  • On Apr. 2, 2024, bill was introduced in the House; on Apr. 23, 2024, bill passed House.
  • On Apr. 24, 2024, bill introduced in the Senate; on May 22, 2024, bill passed Senate.
  • On May 22, 2024, bill amendments passed; on May 24, 2024, bill sent to governor.
  • Effectiveness
  • If enacted, this act takes effect on Aug. 1, 2024.
  • Jun. 2024 LOU LEG Governor Approval
  • On Jun. 3, 2024, LOU LEG reported governor approved bill into law, assigned Act 453.

Regulators LOU LEG
Entity Types Ins
Reference Act 453, 6/3/2024; Bill, HB839, 5/24/2024; Citation: LOU INS 22:1053;
Functions Compliance; Financial; Legal; Product Administration
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 5/24/2024
Effective Date 8/1/2024
Rule Id 213450
Linked to N/A
Reg. Last Update 6/3/2024
Report Section US Insurance

Last substantive update on 06/08/2024