Loading chat...

MO HB1158

Bill

Status

Introduced

1/5/2012

Primary Sponsor

Sheila Solon

Click for details

Origin

House of Representatives

2012 Regular Session

AI Summary

  • Health benefit plans covering cancer chemotherapy cannot require higher copayments, deductibles, or coinsurance for orally administered anticancer medications than for intravenously administered or injected cancer medications.

  • Health carriers cannot achieve compliance by increasing copayments, deductibles, or coinsurance amounts for intravenously administered or injected cancer chemotherapy agents.

  • Health carriers may still require prior authorization and other appropriate utilization controls for chemotherapy coverage.

  • Exemptions apply to supplemental insurance policies including life care contracts, accident-only policies, specified disease policies, Medicare supplements, long-term care policies, and short-term major medical policies of six months or less.

  • Defines "health benefit plan" and "health carrier" using the same meanings from Missouri statute section 376.1350.

Legislative Description

Requires a health benefit plan to establish equal out-of-pocket requirements for an oral anticancer medication and an intravenously administered cancer medication

Last Action

Public Hearing Completed (H)

2/21/2012

Committee Referrals

Health Insurance2/9/2012

Full Bill Text

No bill text available