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NC S390

Bill

Status

Introduced

3/24/2015

Primary Sponsor

Jeffery Tarte

Click for details

Origin

Senate

2015-2016 Session

AI Summary

  • 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.

  • 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.

  • 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.

  • Becomes effective January 1, 2016, for insurance contracts issued, renewed, or amended on or after that date.

  • 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

Committee Referrals

Rules and Operations of the Senate3/25/2015

Full Bill Text

No bill text available