Senate Passes Bill to Limit the Use of Step Therapy

BOSTON (7/30/20) – Today, the Massachusetts State Senate passed legislation to limit the use of step therapy, or ‘fail-first’ protocols that too often direct patients to cheaper medications rather than those more suitable to treat their condition. The bill, An Act relative to step therapy and patient safety, gives health care providers more leverage in determining the most effective treatment options for patients, saving patients expensive and painful regimens on medications they know to be ineffective or harmful.

“This bill takes an important step toward placing treatment decisions back in the hands of the health care provider and patient by limiting opportunities for insurance companies to force a patient to fail on certain medications before they can access the one most suitable for their needs,” said Senator Cindy F. Friedman (D-Arlington), co-chair of the Joint Committee on Health Care Financing. “While we must continue to address the high cost of drugs, we cannot do it at the expense of patients, and cost can never be the primary determinant of whether a patient has to suffer needlessly before they can access the medication that is most effective for treating their condition.”

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