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ID S1034

Bill

Status

Engrossed

3/5/2019

Primary Sponsor

Health and Welfare Committee

Click for details

Origin

Senate

2019 Regular Session

AI Summary

  • Defines "anticancer medication" as drugs or biologics used to kill, slow, or prevent growth of cancerous cells, administered orally, intravenously, or by injection.

  • Prohibits health benefit plans from assigning higher copayments, deductibles, or coinsurance for patient-administered anticancer medications than for injected or intravenously administered anticancer medications when ordered by a licensed oncologist and meeting plan coverage criteria.

  • Allows health benefit plans to classify anticancer medications as either medical or pharmacy benefits at their discretion.

  • Prevents plans from circumventing equal cost-sharing requirements by increasing copayments, deductibles, or coinsurance amounts for any anticancer medications or reclassifying benefit categories.

  • Effective date: January 1, 2020.

Legislative Description

Adds to existing law to provide that anticancer medications that are self-administered by a patient shall not have a higher copayment, deductible, or coinsurance amount than injected or intravenously administered anticancer medications.

INSURANCE

Last Action

Read First Time, Referred to Health & Welfare

3/6/2019

Committee Referrals

Health and Welfare3/6/2019
Health and Welfare1/30/2019
Judiciary and Rules1/29/2019

Full Bill Text

No bill text available