Step Therapy State Legislation Update 2011-2012 AK HI CA AZ NV OR MT MN NE SD ND ID WY OK KS CO UT TX NM SC FL GAALMS LA AR MO IA VA NC TN IN KY IL MI.

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Presentation transcript:

Step Therapy State Legislation Update AK HI CA AZ NV OR MT MN NE SD ND ID WY OK KS CO UT TX NM SC FL GAALMS LA AR MO IA VA NC TN IN KY IL MI WI PA NY WV VT ME RI DE MD NJ MA NH WA OH D.C. CT Enacted Pending Not Introduced Dead October 2012 PR* *CA Senate Passed, now pending governor’s signature

Uniform and Electronic Prior Authorization State Legislation AK HI CA AZ NV* OR MT MN NE SD ND ID WY OK KS CO UT TX NM SC FL GAALMS LA AR MO IA VA NC TN IN KY IL MI WI PA NY WV VT ME RI DE MD NJ MA NH WA OH D.C. CT Enacted Pending Not Introduced Dead * Established through Regulatory Process PR October 2012

Specialty Tiers Legislative Status AK HI CA AZ NV OR MT MN NE SD ND ID WY OK KS CO UT TX NM SC FL GAALMS LA AR MO IA VA NC TN IN KY IL MI WI PA NY WV VT RI DE MD NJ MA NH WA OH D.C. CT IntroducedNot Introduced Revised 10/1/2012 Passed * Map does not reflect defeated bills

Updated September 17, 2012 FFE = Federal Fallback Exchange Exchange Progress – Level of State Activity and Likely Model AK HI CA AZ NV OR MT MN NE SD ND ID WY OK KS CO UT TX NM SC FL GA ALMS LA AR MO IA VA NC TN IN KY IL MI WI PA NY WV VT ME RI CT DE MD NJ MA NH WA OH D.C. FFE (7) State-Run (15) Likely Partnership (7) Likely State-Run (5) Partnership (2) Likely FFE (15) Status of Exchange Implementation

Essential Benefit Benchmark Plan Selection AK HI CA AZ NV OR MT MN NE SD ND ID WY OK KS CO UT TX NM SC FL GAALMS LA AR MO IA VA NC TN IN KY IL MI WI PA NY WV VT ME RI CT DE MD NJ MA NH WA OH D.C. EHB Implementation Progress Proposed EHB Benchmark Plan (12) Identified Potential EHB Benchmark Plans (20) No Public Activity (19) Updated September 17, 2012