step therapy state legislation update 2011-2012 ak hi ca az nv or mt mn ne sd nd id wy ok ks co ut...

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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 GA AL MS 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

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Page 1: 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

Step Therapy State Legislation Update 2011-2012

AK

HI

CA

AZ

NV

OR

MT

MN

NE

SD

ND

ID

WY

OK

KSCO

UT

TX

NMSC

FL

GAALMS

LA

AR

MO

IA

VA

NCTN

IN

KY

IL

MIWI

PA

NY

WV

VT

ME

RI

DEMD

NJ

MA

NH

WA

OH

D.C.

CT

Enacted

Pending Not Introduced

Dead

October 2012

PR*

*CA Senate Passed, now pending governor’s signature

Page 2: 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

Uniform and Electronic Prior Authorization State Legislation 2011-2012

AK

HI

CA

AZ

NV*

OR

MT

MN

NE

SD

ND

ID

WY

OK

KSCO

UT

TX

NMSC

FL

GAALMS

LA

AR

MO

IA

VA

NCTN

IN

KY

IL

MIWI

PA

NY

WV

VT

ME

RI

DEMD

NJ

MA

NH

WA

OH

D.C.

CT

Enacted

Pending Not Introduced

Dead

* Established through Regulatory Process

PR

October 2012

Page 3: 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

Specialty Tiers Legislative Status 2011-2012

AK

HI

CA

AZ

NV

OR

MT

MN

NE

SD

ND

ID

WY

OK

KSCO

UT

TX

NM SC

FL

GAALMS

LA

AR

MO

IA

VA

NC

TN

IN

KY

IL

MI

WI

PA

NY

WV

VT

ME

RI

DEMD

NJ

MANH

WA

OH

D.C.

CT

Introduced Not Introduced

Revised 10/1/2012

Passed

* Map does not reflect defeated bills

Page 4: 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

Updated September 17, 2012FFE = 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

KSCO

UT

TX

NMSC

FL

GAALMS

LA

AR

MO

IA

VA

NCTN

IN

KY

IL

MIWI

PA

NY

WV

VT

ME

RICT

DEMD

NJ

MANH

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

Page 5: 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

Essential Benefit Benchmark Plan Selection

AK

HI

CA

AZ

NV

OR

MT

MN

NE

SD

ND

ID

WY

OK

KSCO

UT

TX

NMSC

FL

GAALMS

LA

AR

MO

IA

VA

NCTN

IN

KY

IL

MIWI

PA

NY

WV

VT

ME

RICT

DEMD

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