Tag Archives: arthritis step therapy

VA Gov. Northam Signs Step Therapy Reform Bill Into Law

VA Gov. Northam Signs Step Therapy Reform Bill Into Law

On Tuesday, March 12, Virginia joined the ranks of 22 states that have passed legislation to curb step therapy. House Bill 2126, which was signed into law by Virginia Gov. Ralph Northam, reforms step therapy, or “fail first,” insurance protocols that force patients to try and fail an insurer-preferred medication before the medication their doctor originally prescribed. This legislation places important guardrails to protect patients from the inappropriate use of burdensome step therapy protocols.

Patients and providers have been working hand in hand on reformingstep therapyprotocols in Virginia since 2016. Countless touchpoints with legislators have gotten us across the finish line, including letters sent to legislators,op-edspublished in local newspapers, coalition-based initiatives through Fair Health Care VA and even state legislative days with in-person legislator meetings in Richmond.

Dr. Harry Gewanter, Arthritis Foundation Ambassador and chair of the Virginia advocacy committee, played an instrumental role in the success of this bill. Of the step therapy win, Dr. Gewanter says: “This legislation will help patients receive appropriate therapies when their unique circumstances need personalized treatment and ensure that the patient-physician relationship remains at the center of care decisions.”

The Arthritis Foundation thanks all legislators who have supported the bill, specifically Delegate Davis, who has championed this bill for four years.You can share your gratitude with the legislature as well!


You can learn more about advocacy and amplifying your voice by becoming an Arthritis Foundation Advocate!Sign up today!


Importance of Step Therapy Reform

Step therapy这也被称为“先失败”,是保险公司使用的一种工具,要求患者在获得医生最初开出的药物之前,先尝试一种较便宜的治疗方法或一系列治疗方法。过于繁重的步骤治疗要求可能会危及患者与提供者的关系,并不必要地延长无效治疗,阻止患者立即开始,或在某些情况下继续获得医生建议的最适当治疗。Continue readingImportance of Step Therapy Reform

Step Therapy Reform Moves Ahead in Georgia

1月23日,星期三,一群乔治亚州倡导者聚集在州议会大厦,与立法者讨论步进疗法改革。来自全州各地的倡议者参加了这次活动,其中包括一对从三个小时车程赶来的母女,她们讲述了获得药物所面临的挑战。当天,该法案的发起人、43岁共和党众议员莎伦·库珀(Sharon Cooper, R-43)访问了白宫,简要介绍了目前的步进疗法和角色扮演,并会见了一些乔治亚州的立法者。

Our Advocates talked to legislators aboutstep therapy,which is an insurance practice that requires patients to use a lower-cost drug before permitting more expensive treatments, despite a physician’s recommendation. Rep. Cooper shared with our Advocates that her bill will create guardrails, allowing a physician to override a step therapy request if the requested medication will negatively react with a medication the patient is already taking, or if the patient has previously tried and failed that drug.

The bill has just been introduced and will go through the Georgia House and Senate chambers for review and votes. Please take a moment totake action联系你们的立法者,请求他们支持乔治亚州的逐步治疗改革。

Related Resources:

minnesota step therapy advocacy

MN Governor Dayton Signs Legislation for Step Therapy Guardrails

5月19日,明尼苏达州州长马克·戴顿签署了HB 3196法案!逐步治疗立法为医生提供了一条明确的途径,让他们的病人得到他们需要的药物。

Having access to affordable, effective and specialized medication is critical for the 54 million Americans living with doctor-diagnosed arthritis nationwide, including over 900,000 in Minnesota. The Arthritis Foundation thanks the bill’s sponsors and Gov. Dayton for helping provide these patient protections to Minnesotans.

Step Therapy是保险公司使用的一种做法,要求关节炎患者在允许更昂贵的治疗之前尝试低成本的药物,尽管医生建议。

Continue readingMN Governor Dayton Signs Legislation for Step Therapy Guardrails

shanna new mexico legislation

NM Governor Martinez Signs Senate Bill 11 into Law to Curb Step Therapy

2月28日,星期三,新墨西哥州和全国其他17个州一起通过了限制步进疗法的立法。新墨西哥州州长苏珊娜·马丁内斯(Susana Martinez)签署的参议院第11号法案(Senate Bill 11)改革了强制患者尝试保险公司选择的药物的程序,使患者在使用医生最初开出的药物之前“先失败”。

Step therapyis an insurance practice that requires patients to use a lower-cost drug before permitting more expensive drugs – regardless of what your doctor prescribed. This may occur even if you are already taking that pricier medication and doing well on it. Senate Bill 11 placed limits on this practice and helps get the right medicine to patients faster.

Continue readingNM Governor Martinez Signs Senate Bill 11 into Law to Curb Step Therapy

amy barron platinum arthritis ambassador

Platinum Ambassador Spotlight: Amy Barron, OHIO


By Amy Barron, Platinum Ambassador, OH Advocacy Committee

I am privileged to serve as a member of the Arthritis Foundation’s Ohio State Advocacy Committee. Advocacy committees like mine help to chart the course of local and state-wide advocacy action for our arthritis community. Many of our committee members serve as Arthritis FoundationAdvocatesandAmbassadors, at both the state and federal level.

Continue readingPlatinum Ambassador Spotlight: Amy Barron, OHIO

lori fagan arthritis ambassador spotlight

Ambassador Spotlight – Lori Fagan, Virginia

From Lori Fagan

I have been living withrheumatoid arthritis (RA)for over a decade. As a full-time working mom and wife living with a chronic condition, the last thing I need is the added strain of fighting with my health insurer.

Unfortunately, because of a common health insurance practice known as “step therapy,” the last 10 years have been a constant and stressful battle.

Continue readingAmbassador Spotlight – Lori Fagan, Virginia

Texas Step Therapy Win

Victory in Texas – Legislation Limits Step Therapy

Exciting news in Texas! On May 23, Governor Greg Abbott signed Senate Bill 680 into law, limiting the use ofstep therapy. Texas now joins a growing number of states that have enacted laws that regulate the use of step therapy. With over 4 million adults and 24,900 kids with doctor-diagnosed arthritis in Texas, this is a major victory!

Step therapyis used by health insurance providers to control the order and use of prescriptions drugs. A patient could be required to try and fail lower-cost or other drugs selected by their insurance provider before coverage is granted for the drug prescribed by the patient’s treating physician. For patients, this barrier to care prevents timely access to doctor prescribed treatments and can be the difference between full mobility and joint damage.
Continue readingVictory in Texas – Legislation Limits Step Therapy

Iowa State Capitol

Victory in Iowa! Governor Branstad Signs into Law a Bill to Curb Step Therapy!

The Iowa arthritis community is celebrating Governor Branstad signing into law House File 233 on May 10, 2017.

The bill, unanimously passed by both chambers, puts limits on an insurance industry protocol known asstep therapywhich requires patients to try and fail medications identified by the insurance company before agreeing to cover medications prescribed by the treating physician. The bill will increase access to care for arthritis patients by limiting step therapy practices in Iowa.
Continue readingVictory in Iowa! Governor Branstad Signs into Law a Bill to Curb Step Therapy!