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March 10, 2026Mental Health Weekly0 citations

California bill seeks to end fail‐first requirements for MH medications

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VCValerie A. Canady

Key Points

  • This research addresses the impact of step-therapy protocols on treatment delays for mental health issues.
  • Review of current insurance practices regarding step-therapy in California
  • Assessment of clinician perspectives on treatment delays
  • Analysis of proposed legislative changes
  • Clinicians report step-therapy often delays treatment for serious mental illnesses
  • The proposed bill aims to reduce the burden of fail-first requirements on patients
  • Legislative changes could lead to faster access to effective medications for patients.

Abstract

California lawmakers are weighing new limits on insurers' use of step‐therapy protocols — often called “fail‐first”— for behavioral health medications, a practice that clinicians say can delay appropriate treatment for people with serious mental illness or substance use disorders.

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Cite This Study

Valerie A. Canady (2026) studied this question.

synapsesocial.com/papers/69af956970916d39fea4cf6fhttps://doi.org/10.1002/mhw.34764
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