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NC H524

Bill

Status

Engrossed

5/12/2021

Primary Sponsor

Carla Cunningham

Click for details

Origin

House of Representatives

2021-2022 Session

AI Summary

  • 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.

  • 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.

  • 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.

  • Grants the Commissioner of Insurance authority to enforce the provisions and adopt temporary rules for implementation.

  • 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upon passage and expires 60 days after Executive Order No. 116 (COVID-19 State of Emergency declaration) expires or is rescinded.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

Committee Referrals

Rules and Operations of the Senate5/12/2021
Rules, Calendar, and Operations of the House5/10/2021
Insurance5/4/2021
Health4/13/2021

Full Bill Text

No bill text available