Step Therapy Reform: What Is It?

The MPF worked with a couple organizations to start the step therapy reform campaigns in states. State lawmakers saw a lot of value in these bills and honestly, the number of insurers practicing step therapy increased as well. The ideal law does three important things: It establishes clinical review criteria or clinical practice guidelines upon which any step therapy protocols must be based. And then finally, it sets a time period in which the exception request must be granted or denied.