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MI HB5367
Bill
Status
12/13/2017
Primary Sponsor
Daire Rendon
Click for details
AI Summary
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Requires health insurance policies covering anticancer medications to ensure cost-sharing requirements (deductibles, copayments, coinsurance, out-of-pocket limits) for orally administered medications are no higher than those for intravenously administered or injected anticancer medications.
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Mandates that treatment limitations on orally administered anticancer medications are no more restrictive than limitations on intravenously administered or injected anticancer medications.
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Prohibits insurers from achieving compliance by increasing cost-sharing requirements, reclassifying benefits, or imposing more restrictive treatment limitations on any anticancer medications.
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Defines key terms: "anticancer medication" as medication used to kill, slow, or prevent cancer cell growth; "cost-sharing requirement" as deductibles, copayments, coinsurance, out-of-pocket expenses, and annual/lifetime limits; "treatment limitation" as frequency, duration, or scope restrictions.
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Applies to health insurance policies delivered, issued for delivery, or renewed in Michigan on or after the effective date of the act.
Legislative Description
Insurance; health insurers; coverage for orally administered anticancer chemotherapy; provide equal treatment for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406u.
Insurance: health insurers
Last Action
Recommendation Concurred In
6/7/2018