Legislation - SB0646

Title: Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols
Sponsored by: Senator Muse
Status: Approved by the Governor - Chapter 689
Analysis: Fiscal and Policy Note (Revised)

Synopsis

Prohibiting certain insurers, nonprofit health service plans, and health maintenance organizations from imposing a step therapy or fail-first protocol for insulin or an insulin analog used to treat an insured's or enrollee's diabetes.

Committees

Original:: Finance Click to view Recorded Media

Opposite:: Health and Government Operations

Committee Testimony

Witness List

Details

Cross-filed with: HB0970

Bill File Type: Regular

Effective Date(s): January 1, 2026

History

Legislation History
Chamber Senate Calendar Date 1/29/2025 Legislative Date 1/25/2025 Action First Reading Finance Proceedings
Chamber Calendar Date Legislative Date Action Text - First - Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols Proceedings
Chamber Senate Calendar Date 2/06/2025 Legislative Date 2/06/2025 Action Hearing 2/26 at 1:00 p.m. Proceedings
Chamber Calendar Date Legislative Date Action Vote - Senate - Committee - Finance Proceedings Click to view Recorded Media
Chamber Senate Calendar Date 3/31/2025 Legislative Date 3/31/2025 Action Favorable with Amendments Report by Finance Proceedings
Chamber Senate Calendar Date 3/31/2025 Legislative Date 3/11/2025 Action Favorable with Amendments {493829/1 Adopted Proceedings 59 Click to view Recorded Media
Chamber Senate Calendar Date 3/31/2025 Legislative Date 3/11/2025 Action Second Reading Passed with Amendments Proceedings 59 Click to view Recorded Media
Chamber Calendar Date Legislative Date Action Text - Third - Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols Proceedings
Chamber Senate Calendar Date 4/01/2025 Legislative Date 3/14/2025 Action Third Reading Passed (46-0) Proceedings 62 Click to view Recorded Media
Chamber House Calendar Date 4/02/2025 Legislative Date 3/17/2025 Action Referred Rules and Executive Nominations Proceedings 57 Click to view Recorded Media
Chamber House Calendar Date 4/02/2025 Legislative Date 4/02/2025 Action Rereferred to Health and Government Operations Proceedings
Chamber Calendar Date Legislative Date Action Vote - House - Committee - Health and Government Operations Proceedings Click to view Recorded Media
Chamber House Calendar Date 4/04/2025 Legislative Date 4/04/2025 Action Favorable Report by Health and Government Operations Proceedings
Chamber House Calendar Date 4/04/2025 Legislative Date 3/21/2025 Action Favorable Adopted Second Reading Passed Proceedings 61 Click to view Recorded Media
Chamber House Calendar Date 4/07/2025 Legislative Date 3/25/2025 Action Third Reading Passed (137-0) Proceedings 65 Click to view Recorded Media
Chamber Senate Calendar Date 4/07/2025 Legislative Date 3/24/2025 Action Returned Passed Proceedings 72AClick to view Recorded Media
Chamber Post Passage Calendar Date 5/20/2025 Legislative Date 5/20/2025 Action Approved by the Governor - Chapter 689 Proceedings

Chamber	Calendar Date	Legislative Date	Action	Proceedings
Senate	1/29/2025	1/25/2025	First Reading Finance
			Text - First - Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols
Senate	2/06/2025	2/06/2025	Hearing 2/26 at 1:00 p.m.
			Vote - Senate - Committee - Finance	Click to view Recorded Media
Senate	3/31/2025	3/31/2025	Favorable with Amendments Report by Finance
Senate	3/31/2025	3/11/2025	Favorable with Amendments {493829/1 Adopted	59 Click to view Recorded Media
Senate	3/31/2025	3/11/2025	Second Reading Passed with Amendments	59 Click to view Recorded Media
			Text - Third - Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols
Senate	4/01/2025	3/14/2025	Third Reading Passed (46-0)	62 Click to view Recorded Media
House	4/02/2025	3/17/2025	Referred Rules and Executive Nominations	57 Click to view Recorded Media
House	4/02/2025	4/02/2025	Rereferred to Health and Government Operations
			Vote - House - Committee - Health and Government Operations	Click to view Recorded Media
House	4/04/2025	4/04/2025	Favorable Report by Health and Government Operations
House	4/04/2025	3/21/2025	Favorable Adopted Second Reading Passed	61 Click to view Recorded Media
House	4/07/2025	3/25/2025	Third Reading Passed (137-0)	65 Click to view Recorded Media
Senate	4/07/2025	3/24/2025	Returned Passed	72AClick to view Recorded Media
Post Passage	5/20/2025	5/20/2025	Approved by the Governor - Chapter 689

File Code

Subjects

Statutes