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CO HB1148
Bill
Status
4/9/2018
Primary Sponsor
Dafna Michaelson Jenet
Click for details
AI Summary
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Prohibits health insurance carriers from requiring step therapy for covered persons with stage four advanced metastatic cancer who are prescribed FDA-approved drugs on the carrier's formulary.
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Allows coverage without step therapy if the prescribed drug is consistent with FDA-approved indications, National Comprehensive Cancer Network compendium indications, or peer-reviewed medical literature for treating stage four advanced metastatic cancer.
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Defines stage four advanced metastatic cancer as cancer that has spread from its primary or original site to nearby tissues, lymph nodes, or other parts of the body.
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Takes effect January 1, 2019, and applies to health benefit plans issued, amended, or renewed on or after that date.
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Was approved by Governor John W. Hickenlooper.
Legislative Description
Stage Four Advanced Metastatic Cancer Step Therapy
Last Action
Governor Signed
4/9/2018