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State by State—an Update on Proposed Legislation to Benefit Rheumatology

Joseph Cantrell, JD  |  April 20, 2024

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If you missed our spring state legislative update a few weeks ago, be sure to look at our state legislative tracker. This tracker allows you to see all the bills the ACR is actively tracking in state legislatures across the country. The bills are broken down by issue area, with the status of each bill and a link to the LegiScan platform that allows you to get real-time updates on the status of legislation in your state. We will continue to publish these tracker updates periodically throughout the year so you can stay up to date on legislation in your state.

A New Addition to the Tracker

The tracker now includes the rate of progression of each bill, represented as a percentage after the current status. This tells you approximately how far along the legislative process the bill has made it so far. Keep in mind that the legislative process is complex and these percentages are only approximations. However, a progression rate of 50% or greater indicates that a bill has at least passed the chamber of origin.

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Notable Changes Since the Last Update

There have been two notable changes since the last update. First, Oregon joined the growing list of states that have passed copay accumulator bans. Second, many more bills have died in the legislative process at this point in the year. This number will grow as more states wind down their legislative sessions. Hopefully, we will also see the win list grow as sessions continue. As state sessions move along, we hope that the tracker will be a useful and informative way for you to keep track of the rheumatology community’s legislative wins along with all of us at the ACR.

State Bill Status Progression
Copay accumulators  
California AB 2180 Referred to Committee on Health 25%
Colorado SB 077 Dead  
Florida SB 228/HB 363 Dead  
Maryland SB 595 Dead  
Maryland HB 879 Dead  
Michigan HB 4719 Referred to Insurance and Financial Services 25%
Missouri HB 1628 Placed on Informal Perfection Calendar 25%
Missouri SB 844 Placed on Formal Senate Perfection Calendar 25%
Missouri SB 1106 Referred to Senate Insurance and Banking 25%
Missouri SB 1190 Referred to Senate Insurance and Banking 25%
New Hampshire SB 354 House Commerce and Consumer Affairs Hearing 5/1 50%
Ohio HB 177 Reported: Public Health Policy 25%
Oklahoma HB 3368 Passed Insurance Committee 25%
Oregon HB 4113 Signed by governor  
Pennsylvania SB 372 Senate Banking and Insurance 25%
Rhode Island HB 8041 House Corporations Committee held for study 25%
Rhode Island S 2720 Referred to House Corporations 50%
South Carolina H 3618 House Labor, Commerce, and Industry 25%
Tennessee SB 2008 Assigned to General Subcommittee of Commerce and Labor 25%
Utah SB 152 Withdrawn  
Vermont H 233 Referred to Senate Health and Welfare 50%
Wisconsin SB 100, AB 103 Dead  
       
Gold card  
Alaska HB 187 House Rules Committee Hearing 4/22 25%
Alaska SB 219 Heard in Labor and Commerce (3/13) 25%
Colorado HB 1149 Referred to Senate Appropriations 50%
Iowa HF 2488 House Fiscal Note 50%
Kentucky SB 270 Dead  
Missouri HB 1976 Reported and first read in Senate 50%
Ohio HB 130 Referred to Insurance Committee 25%
   
Non-medical switching  
Arizona SB 1164 Pending House Rules 50%
Mississippi HB 339 Dead  
Ohio HB 130 Referred to Insurance Committee 25%
   
Prescription drug affordability board  
Connecticut SB 8 Referred to Senate Judiciary 25%
Iowa HF 2408 Commerce Committee 25%
Iowa SF 2238 Health and Human Services 25%
Kentucky HB 823 Dead  
Maryland HB 340 Dead  
Maryland SB 388 Dead  
Nebraska LB 833 Banking, Commerce, and Insurance Committee 25%
South Carolina HB 4984 Labor, Commerce, and Industry 25%
Virginia SB 274 Vetoed 100%
West Virginia HB 5682 Dead  
Wisconsin AB 747 Failed pursuant to joint resolution  
Wisconsin SB 718 Failed pursuant to joint resolution  
   
Rebate pass-through  
Alabama HB 238 Read for second time, placed on calendar 25%
Louisiana SB 347 Referred to Insurance Committee 25%
Maine LD 1165 Ought not to pass report adopted  
Michigan HB 5338 Referred to Committee on Insurance and Finance 25%
New York S1888 Senate Insurance 25%
New York A6352 Assembly Insurance 25%
   
Step therapy  
New Mexico SB 135 Signed by governor  
Rhode Island S2611 Referred to Health and Human Services 25%
Rhode Island H7822 Referred to Health and Human Services 25%
   
Utilization management reform (step therapy & prior authorization)  
Vermont H766 Senate Health and Welfare 50%
Wyoming HB 14 Signed by governor (included gold card but not pharmacy/prescription)  
   
White bagging  
Alaska HB 226 Labor and Commerce Committee 25%
Colorado HB 1010 Assigned to Senate Health and Human Services 50%
Georgia HB 924 Dead  
Idaho S1389 Dead  
Louisiana SB 241 Referred to Insurance Committee 25%
Mississippi HB 320 Dead  
Missouri HB 2267 Reported to Senate and First Read 50%

Joseph Cantrell, JD, is the director of state affairs and community relations for the ACR.

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