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Bill would require faster insurer review of step‑therapy exceptions and a one‑biennium pilot under PERS (SB 2249)

2166690 · January 29, 2025
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Summary

Senate Bill 2249 would require insurers to provide a published, expedited process for step‑therapy exceptions, set insurer response timelines and run a two‑year pilot in the PERS plan to evaluate impacts.

Senate Bill 2249 would require insurers to adopt and publish processes for patients and providers to request step‑therapy exceptions and set time limits for insurer responses. The sponsor, Senator Jeff Barta, described the bill as a transparency and process reform rather than a prohibition on step therapy.

Key timelines in the bill’s draft require insurers to respond to a standard exception request within five calendar days (with shorter deadlines for urgent or emergency care). The measure also…

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