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NC S390
Bill
AI Summary
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Requires health benefit plans that cover both oral and intravenous anticancer drugs to provide equal coverage for orally administered anticancer drugs, with no less favorable terms than intravenous options.
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Prohibits insurers from imposing prior authorization, dollar limits, copayments, coinsurance, deductibles, or other out-of-pocket expenses on oral anticancer drugs that do not apply to intravenous or injected anticancer drugs.
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Prevents insurers from circumventing the law by reclassifying drugs or increasing cost-sharing for anticancer drugs, unless such increases are applied to the majority of comparable medical or pharmaceutical benefits.
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Becomes effective January 1, 2016, for insurance contracts issued, renewed, or amended on or after that date.
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Provision is void if the federal government determines it creates a state-required benefit exceeding essential health benefits under 45 C.F.R. 155.170(a)(3).
Legislative Description
NC Cancer Treatment Fairness
Last Action
Ref To Com On Rules and Operations of the Senate
3/25/2015