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MI HB5367

Bill

Status

Introduced

12/13/2017

Primary Sponsor

Daire Rendon

Click for details

Origin

House of Representatives

99th Legislature

AI Summary

  • 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.

  • Mandates that treatment limitations on orally administered anticancer medications are no more restrictive than limitations on intravenously administered or injected anticancer medications.

  • Prohibits insurers from achieving compliance by increasing cost-sharing requirements, reclassifying benefits, or imposing more restrictive treatment limitations on any anticancer medications.

  • 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.

  • 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

Committee Referrals

Insurance12/13/2017

Full Bill Text

No bill text available