Tag Archives: step therapy

100 advocacy state victories

100 State Advocacy Victories….and Counting!

The Arthritis Foundation reached a milestone in September, securing our 100th state legislative victory since 2014! Congratulations Advocates!! All of these victories were made possible due to all of you!

Our victories occurred in 47 states plus Washington, DC, impacting more than 50 million people with doctor-diagnosed arthritis, and have focused on many patient access to care issues like:

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minnesota step therapy advocacy

MN Governor Dayton Signs Legislation for Step Therapy Guardrails

On May 19, Minnesota Gov. Mark Dayton signed HB 3196 into law! Step therapy legislation gives physicians a clear path toward getting their patients the medications they need.

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 is a practice used by insurers that requires people with arthritis to try lower-cost medications before allowing more expensive treatments, despite a physician’s recommendation.

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shanna new mexico legislation

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

On Wednesday, February 28th, New Mexico joined 17 other states across the country in passing legislation to curb step therapy. Senate Bill 11, which was signed into law by New Mexico Governor Susana Martinez, reforms the process that forces patients to try drugs that insurance companies choose, making patients “fail first” before the patient gets to use the medicine that their doctor originally prescribed.

Step therapy is 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.

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amy barron platinum arthritis ambassador

Platinum Ambassador Spotlight: Amy Barron, OHIO

ADVOCACY COMMITTEE REACHES GOAL!

 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 Foundation Advocates and Ambassadors, at both the state and federal level.

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rebecca gillett

Platinum Ambassador Spotlight—Rebecca Gillett, Colorado

In 2016, I was fortunate to attend the Arthritis Foundation Advocacy Summit in Washington D.C. alongside some seasoned advocacy veterans from Denver. I had never met with my legislators or shared my story before, so it was a new experience. It was easy to “catch the bug” for advocacy being surrounded by so many other fellow arthritis patient advocates who want to make a difference for all of us. Raising awareness and fundraising for arthritis has been an integral part of my life for the past several years, but advocacy has become an even greater passion. This year, I achieved the Platinum Ambassador Award and will attend the Arthritis Foundation’s Platinum Ambassador Assembly this March 12-13, 2018.

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lori fagan arthritis ambassador spotlight

Ambassador Spotlight – Lori Fagan, Virginia

From Lori Fagan

I have been living with rheumatoid 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.

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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 of step 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 therapy is 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.
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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 as step therapy which 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.
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West Virginia Step Therapy

Step Therapy Win in West Virginia!

Step therapy is a cost saving tactic used by insurers that requires people with arthritis and other potentially debilitating conditions to try and fail lower-cost medications before covering more expensive treatments. In other words, insurance companies oftentimes disregard treating physicians’ knowledge of their patients and related expertise, forcing patients to try cheaper medications, all to save a few dollars.
Continue reading Step Therapy Win in West Virginia!