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MO SB308
Bill
AI Summary
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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.
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Health carriers may still require prior authorization and impose other appropriate utilization controls for chemotherapy coverage decisions.
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Exemptions apply to supplemental insurance policies including life care contracts, accident-only policies, specified disease policies, hospital policies with fixed daily benefits, Medicare supplement policies, long-term care policies, and short-term major medical policies of six months or less.
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Terms "health benefit plan" and "health carrier" are defined by reference to section 376.1350 of Missouri law.
Legislative Description
Requires health benefit plans to establish equal out-of-pocket requirements for oral anticancer medications and intravenously administered chemotherapy medications
Last Action
S Informal Calendar S Bills for Perfection--SB 308-Schaaf
5/17/2013