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Step Therapy Health insurance step therapy protocols can be useful to save costs and establish best practices, but when a patient has already failed on a particular treatment option or when a doctor knows the first step of the protocol will not work for a specific patient, the patients should not be forced to “fail first” before their doctor’s preferred medications are covered.   During the 2017 Texas Legislative session, ACS CAN worked with coalition partners to support passage of SB 680 , which establishes exceptions to insurance step therapy requirements to protect patient access to needed treatments in a timely manner. ...