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MO HB1506

Bill

Status

Introduced

1/25/2012

Primary Sponsor

Rodney Schad

Click for details

Origin

House of Representatives

2012 Regular Session

AI Summary

  • Health benefit plans covering cancer chemotherapy cannot require higher co-payments, deductibles, or coinsurance for oral anticancer medications than for intravenously administered or injected chemotherapy medications.

  • Health carriers cannot comply with this requirement by increasing out-of-pocket costs for intravenously administered or injected cancer chemotherapy agents.

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

  • Supplemental insurance policies, Medicare supplements, long-term care policies, and short-term major medical policies of six months or less are exempt from this requirement.

  • Applies to health benefit plans and health carriers as defined in section 376.1350 of Missouri law.

Legislative Description

Requires a health benefit plan to establish equal out-of-pocket requirements for an orally administered anti-cancer medication and an intravenously administered or injected cancer medication

Last Action

Referred: Health Insurance (H)

2/15/2012

Committee Referrals

Health Insurance2/15/2012

Full Bill Text

No bill text available