MADISON, Wis. — A bipartisan proposal designed to make it easier for patients to get needed prescription drugs even when insurance companies force them to try less-expensive alternatives first is headed to Gov. Tony Evers.
The Wisconsin Assembly approved the bill Tuesday on a voice vote. The Senate previously passed the measure.
Under step therapy, an insurance company can require a patient to try less costly treatment options before advancing to more expensive ones originally prescribed by a doctor. The bill would establish a clear appeals process and detail cases for bypassing the protocol when medically necessary.
About two dozen other states have adopted similar guidelines and protocols making it easier for patients to get exceptions.