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Looming Step Therapy Ban In Illinois Is ‘Game Changer,’ Could Start Trend

 
• By Tim Casey

Federal legislation on PBM reforms has stalled, but state efforts remain active. Illinois’ Healthcare Protection Act includes several other limits on insurer power, including prohibiting prior authorization for inpatient mental health care.

Illinois step therapy
Will Illinois’ step therapy ban spread across the map? • Source: Nielsen Hobbs; the Pink Sheet | Shutterstock images

Illinois’ new Healthcare Protection Act (HPA) includes a first-in-the-nation banning of step therapy for covered services, a provision that health policy experts expect could be copied by other states.

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