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MO HB695

Bill

Status

Introduced

2/25/2013

Primary Sponsor

Dwight Scharnhorst

Click for details

Origin

House of Representatives

2013 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 out-of-pocket costs for intravenously administered or injected cancer chemotherapy agents
  • Health carriers may still require prior authorization and impose other utilization controls for chemotherapy coverage
  • Exempts 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
  • Applies definitions of "health benefit plan" and "health carrier" from section 376.1350 of Missouri law

Legislative Description

Prohibits a health benefit plan from requiring a higher out-of-pocket cost for an oral anti-cancer medication than for an intravenously administered cancer medication

Last Action

HCS Reported Do Pass (H)

4/4/2013

Committee Referrals

Rules4/4/2013
Special Standing Committee on Emerging Issues in Health Care2/28/2013

Full Bill Text

No bill text available