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ID H0235
Bill
Status
3/6/2015
Primary Sponsor
Health and Welfare Committee
Click for details
AI Summary
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Requires health insurance policies covering both oral and intravenously administered chemotherapy to ensure cost sharing for oral chemotherapy is no more restrictive than cost sharing for intravenous chemotherapy.
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Allows health insurers to apply more restrictive cost sharing to oral chemotherapy only if it does not exceed $150 per prescription.
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Prohibits health insurance carriers from increasing cost sharing for intravenously administered chemotherapy to achieve compliance with this requirement.
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Defines "cost sharing" as maximum out-of-pocket costs, "oral chemotherapy" as FDA-approved tablet or capsule cancer treatment, and "intravenously administered chemotherapy" as physician-prescribed treatment injected directly into the circulatory system.
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Applies to health insurance policies renewed or entered into on or after July 1, 2015.
Legislative Description
Adds to existing law to establish requirements for health insurance policies covering certain types of chemotherapy.
HEALTH INSURANCE
Last Action
Reported Printed and Referred to Health & Welfare
3/9/2015