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NC H524
Bill
Status
5/12/2021
Primary Sponsor
Carla Cunningham
Click for details
AI Summary
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Requires all North Carolina health benefit plans that cover oral anticancer drugs to provide coverage on a basis no less favorable than coverage for intravenously administered or injected anticancer drugs.
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Prohibits health plans from imposing prior authorization requirements, 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 achieving compliance by reclassifying anticancer drugs or increasing patient cost-sharing, and requires any increases in out-of-pocket expenses for anticancer drugs to also apply to the majority of comparable medical or pharmaceutical benefits.
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Grants the Commissioner of Insurance authority to enforce the provisions and adopt temporary rules for implementation.
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Becomes effective upon passage and expires 60 days after Executive Order No. 116 (COVID-19 State of Emergency declaration) expires or is rescinded.
Legislative Description
Oral Chemo Treatment Access During Pandemic
Health Services
Last Action
Ref To Com On Rules and Operations of the Senate
5/12/2021