Legislation - HB1087

Title: Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer
Sponsored by: Delegates Bhandari and Woods
Status: In the House - First Reading Health and Government Operations
Analysis

Synopsis

Prohibiting certain insurers, nonprofit health service plans, and health maintenance organizations from imposing a step therapy or fail-first protocol for certain prescription drugs used to treat a symptom of or side effect from the treatment of stage four metastatic cancer that the treating provider determines will negatively impact the insured or enrollee's health if left untreated and use of the prescription drug is consistent with best practices for treatment of the condition.

Committees

Original:: Health and Government Operations

Details

Cross-filed with: SB0921

Bill File Type: Regular

Effective Date(s): January 1, 2026

History

Legislation History
Chamber House Calendar Date 2/05/2025 Legislative Date 2/05/2025 Action First Reading Health and Government Operations Proceedings
Chamber Calendar Date Legislative Date Action Text - First - Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer Proceedings

Chamber	Calendar Date	Legislative Date	Action	Proceedings
House	2/05/2025	2/05/2025	First Reading Health and Government Operations
			Text - First - Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer

File Code

Subjects

Statutes