Step Therapy Arthritis Indiana

Victory in Indiana – Fighting Step Therapy

For people like Renda Brower, the fight against arthritis and barriers to treatment is an everyday battle. Renda’s husband and two of her children have ankylosing spondylitis. The process to get the medication they need inspired Renda to become an Advocate and to share her story in support of Indiana step therapy bill, Senate Bill 41 (SB41). Today, we celebrate a big victory for the Browers and the 1.3 million people (6,400 of whom are children) in Indiana living with arthritis.

Today, Governor Pence signed into law SB41, putting limits on an insurance industry protocol, known as “step therapy” or “fail first,” which require patients to try and fail medications the insurance provider recommends before they will cover medications as prescribed by their physician. This practice has become pervasive in the insurance industry, even when the prescribed drug is deemed more medically appropriate by the patient’s physician.

Passage of this bill means that people living with arthritis, like Renda’s husband and children, won’t have to struggle to get the medication they need. Renda’s husband and two of her three children have ankylosing spondylitis.

Renda & Courtney Brower.
Renda & Courtney Brower, after testifying in January 2016 on SB 41 in front of the Senate Health and Provider Services Committee.

“SB41 will give my family their lives back by allowing us to more quickly receive the medication we need to be active and healthy again,” said Renda. “My husband and children won’t have to struggle through step therapy again.”

The Arthritis Foundation played a major role in passing SB41. In addition to leading the coalition, Arthritis Foundation advocates testified at both the Senate and House hearing.

Terri Miller is a Foundation Advocate and understands more than most how step therapy can negatively affect people with arthritis. A single mom with rheumatoid arthritis, Terri has struggled through step therapy to get the medication she needs.

“The whole arthritis community has to go through this and it just isn’t fair,” said Terri. “I’ve advocated for passage of this bill to do something positive related to this disease, to help the arthritis community.”

Sponsors of SB41 Indiana Senator Michael Crider and Indiana Representative Martin Carbaugh.
Sponsors of SB41 Indiana Senator Michael Crider and Indiana Representative Martin Carbaugh.

While SB41 gives healthcare providers a clear course by which to appeal step therapy restrictions, it does not ban step therapy, limit the number of steps an insurer can impose, or prioritize the prescribing of brand name drugs over generics.

SB41 is a victory, but we still have a long way to go. Help us create winning moments like this by becoming an Arthritis Foundation Advocate today.

Thank you to the sponsors of this bill, Indiana Senator Crider and Indiana Representative Carbaugh.

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3 thoughts on “Victory in Indiana – Fighting Step Therapy

  1. With all the pain associated with this disease and its effect on the family, there should be one less problem to worry about. The drug companies should focus on curing this crippling disease, then there would not be an issue. Greater government support for cures will hopefully change the focus for insurance companies. Fight for a cure, cutting medication for patients is not the answer, it does nothing to eliminate the problem. Arthritis in all ages is growing by leaps and bounds, we must address the seriousness! Having more patients to treat raises costs. The answer is a cure.

  2. As an arthritis sufferer myself, I understand the pain people go through. Although, mine is minor to RA,JA,etc., I see myself and others going through so much, just to walk, write—move in any way that it breaks my heart to see them in so much pain. We ARE NOT Guiena pigs, for the drug and industries. We are entitled to be able to have our medications for ourselves without trial and error, because insurance does not want to pay the cost for the proper meds., from the start.

  3. Thank you for fighting for this. I do not have much arthritis, but I suffer from painful neuropathy in my legs and feet. Although I was covered for Lyrica last year, my insurance company has decided to impose step therapy on me this year. I can’t even wean off my Lyrica because my pain gets unbearable. Soon I will run out of my Lyrica unless I can find a way to continue without trying TWO other medications as my insurance company is requiring.

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