Legis Daily

To amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide an exceptions process for any medication step therapy protocol, and for other purposes.

USA115th CongressHR-2077| House 
| Updated: 4/6/2017
Brad R. Wenstrup

Brad R. Wenstrup

Republican Representative

Ohio

Cosponsors (88)
Dwight Evans (Democratic)Steve Chabot (Republican)Daniel M. Donovan (Republican)Tim Ryan (Democratic)F. James Sensenbrenner (Republican)Tom O'Halleran (Democratic)John Katko (Republican)Elise M. Stefanik (Republican)Roger Marshall (Republican)Gregg Harper (Republican)Steven M. Palazzo (Republican)Adam B. Schiff (Democratic)Robin L. Kelly (Democratic)Erik Paulsen (Republican)Raúl M. Grijalva (Democratic)Don Young (Republican)Mark Pocan (Democratic)Peter T. King (Republican)Joyce Beatty (Democratic)Steve Stivers (Republican)Steve Womack (Republican)Emanuel Cleaver (Democratic)Kathleen M. Rice (Democratic)Raul Ruiz (Democratic)John A. Yarmuth (Democratic)Neal P. Dunn (Republican)Bill Foster (Democratic)Joe Courtney (Democratic)Robert J. Wittman (Republican)Darin LaHood (Republican)John Abney Culberson (Republican)Pete Aguilar (Democratic)Eliot L. Engel (Democratic)John J. Faso (Republican)Michael F. Doyle (Democratic)Steve Cohen (Democratic)Donald M. Payne (Democratic)Rosa L. DeLauro (Democratic)Thomas A. Garrett (Republican)Peter A. DeFazio (Democratic)Ted Lieu (Democratic)Michelle Lujan Grisham (Democratic)James B. Renacci (Republican)Ro Khanna (Democratic)Elizabeth H. Esty (Democratic)Sean Patrick Maloney (Democratic)Henry C. "Hank" Johnson (Democratic)Don Bacon (Republican)Christopher H. Smith (Republican)David P. Joyce (Republican)Stephen F. Lynch (Democratic)Peter J. Roskam (Republican)Jacky Rosen (Democratic)Doris O. Matsui (Democratic)David E. Price (Democratic)Raja Krishnamoorthi (Democratic)Anna G. Eshoo (Democratic)Ami Bera (Democratic)Peter J. Visclosky (Democratic)Eleanor Holmes Norton (Democratic)Bonnie Watson Coleman (Democratic)Larry Bucshon (Republican)Salud O. Carbajal (Democratic)Jamie Raskin (Democratic)Louise McIntosh Slaughter (Democratic)Scott DesJarlais (Republican)James P. McGovern (Democratic)Michael R. Turner (Republican)Julia Brownley (Democratic)Adam Kinzinger (Republican)Brian K. Fitzpatrick (Republican)Bennie G. Thompson (Democratic)Earl Blumenauer (Democratic)Seth Moulton (Democratic)Ileana Ros-Lehtinen (Republican)Bill Posey (Republican)Zoe Lofgren (Democratic)Kevin Yoder (Republican)Mike Coffman (Republican)Bradley Scott Schneider (Democratic)John J. Duncan (Republican)Jaime Herrera Beutler (Republican)Lloyd Doggett (Democratic)David P. Roe (Republican)Barbara Comstock (Republican)Chellie Pingree (Democratic)Colleen Hanabusa (Democratic)Grace F. Napolitano (Democratic)

Education and Workforce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Restoring the Patient's Voice Act of 2017 This bill amends the Employee Retirement Income Security Act of 1974 (ERISA) to require a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer. To warrant an exception to the protocol, at least one of the following circumstances must be met: (1) the treatment is contraindicated, (2) the treatment is expected to be ineffective, (3) the treatment will cause or is likely to cause an adverse reaction to the individual, (4) the treatment is expected to decrease the individual's ability either to perform daily activities or occupational responsibilities or adhere to the treatment plan, or (5) the individual is stable based on the prescription drugs already selected. The bill requires a group health plan to implement a clear process for an individual to request an exception to the protocol. The process shall be readily available on the website of the group health plan and must list the requirements for a request and any necessary forms and contact information. Requests shall be granted no later than three days after receipt of the request. In certain cases where the life, health, and ability of the individual are jeopardized by the protocol, the request shall be granted no later than 24 hours after receipt of the request.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Apr 6, 2017
Introduced in House
Apr 6, 2017
Referred to the House Committee on Education and the Workforce.
  • April 6, 2017
    Introduced in House


  • April 6, 2017
    Referred to the House Committee on Education and the Workforce.

Health

Drug therapyEmployee benefits and pensionsHealth care costs and insuranceHealth care coverage and accessPrescription drugs

To amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide an exceptions process for any medication step therapy protocol, and for other purposes.

USA115th CongressHR-2077| House 
| Updated: 4/6/2017
Restoring the Patient's Voice Act of 2017 This bill amends the Employee Retirement Income Security Act of 1974 (ERISA) to require a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer. To warrant an exception to the protocol, at least one of the following circumstances must be met: (1) the treatment is contraindicated, (2) the treatment is expected to be ineffective, (3) the treatment will cause or is likely to cause an adverse reaction to the individual, (4) the treatment is expected to decrease the individual's ability either to perform daily activities or occupational responsibilities or adhere to the treatment plan, or (5) the individual is stable based on the prescription drugs already selected. The bill requires a group health plan to implement a clear process for an individual to request an exception to the protocol. The process shall be readily available on the website of the group health plan and must list the requirements for a request and any necessary forms and contact information. Requests shall be granted no later than three days after receipt of the request. In certain cases where the life, health, and ability of the individual are jeopardized by the protocol, the request shall be granted no later than 24 hours after receipt of the request.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Apr 6, 2017
Introduced in House
Apr 6, 2017
Referred to the House Committee on Education and the Workforce.
  • April 6, 2017
    Introduced in House


  • April 6, 2017
    Referred to the House Committee on Education and the Workforce.
Brad R. Wenstrup

Brad R. Wenstrup

Republican Representative

Ohio

Cosponsors (88)
Dwight Evans (Democratic)Steve Chabot (Republican)Daniel M. Donovan (Republican)Tim Ryan (Democratic)F. James Sensenbrenner (Republican)Tom O'Halleran (Democratic)John Katko (Republican)Elise M. Stefanik (Republican)Roger Marshall (Republican)Gregg Harper (Republican)Steven M. Palazzo (Republican)Adam B. Schiff (Democratic)Robin L. Kelly (Democratic)Erik Paulsen (Republican)Raúl M. Grijalva (Democratic)Don Young (Republican)Mark Pocan (Democratic)Peter T. King (Republican)Joyce Beatty (Democratic)Steve Stivers (Republican)Steve Womack (Republican)Emanuel Cleaver (Democratic)Kathleen M. Rice (Democratic)Raul Ruiz (Democratic)John A. Yarmuth (Democratic)Neal P. Dunn (Republican)Bill Foster (Democratic)Joe Courtney (Democratic)Robert J. Wittman (Republican)Darin LaHood (Republican)John Abney Culberson (Republican)Pete Aguilar (Democratic)Eliot L. Engel (Democratic)John J. Faso (Republican)Michael F. Doyle (Democratic)Steve Cohen (Democratic)Donald M. Payne (Democratic)Rosa L. DeLauro (Democratic)Thomas A. Garrett (Republican)Peter A. DeFazio (Democratic)Ted Lieu (Democratic)Michelle Lujan Grisham (Democratic)James B. Renacci (Republican)Ro Khanna (Democratic)Elizabeth H. Esty (Democratic)Sean Patrick Maloney (Democratic)Henry C. "Hank" Johnson (Democratic)Don Bacon (Republican)Christopher H. Smith (Republican)David P. Joyce (Republican)Stephen F. Lynch (Democratic)Peter J. Roskam (Republican)Jacky Rosen (Democratic)Doris O. Matsui (Democratic)David E. Price (Democratic)Raja Krishnamoorthi (Democratic)Anna G. Eshoo (Democratic)Ami Bera (Democratic)Peter J. Visclosky (Democratic)Eleanor Holmes Norton (Democratic)Bonnie Watson Coleman (Democratic)Larry Bucshon (Republican)Salud O. Carbajal (Democratic)Jamie Raskin (Democratic)Louise McIntosh Slaughter (Democratic)Scott DesJarlais (Republican)James P. McGovern (Democratic)Michael R. Turner (Republican)Julia Brownley (Democratic)Adam Kinzinger (Republican)Brian K. Fitzpatrick (Republican)Bennie G. Thompson (Democratic)Earl Blumenauer (Democratic)Seth Moulton (Democratic)Ileana Ros-Lehtinen (Republican)Bill Posey (Republican)Zoe Lofgren (Democratic)Kevin Yoder (Republican)Mike Coffman (Republican)Bradley Scott Schneider (Democratic)John J. Duncan (Republican)Jaime Herrera Beutler (Republican)Lloyd Doggett (Democratic)David P. Roe (Republican)Barbara Comstock (Republican)Chellie Pingree (Democratic)Colleen Hanabusa (Democratic)Grace F. Napolitano (Democratic)

Education and Workforce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Drug therapyEmployee benefits and pensionsHealth care costs and insuranceHealth care coverage and accessPrescription drugs