Enacts new GS 58-3-282, concerning coverage for certain anticancer drugs, applicable to every health benefit plan offered by an insurer that provides coverage for prescribed, orally administered anticancer drugs used to kill or slow the growth of cancerous cells and that provides coverage for intravenously administered or injected anticancer drugs, requiring that such plans must provide coverage for prescribed, orally administered anticancer drugs on a basis no less favorable than the coverage provided for the intravenously administered or injected anticancer drug.
Prohibits coverage for orally administered anticancer drugs from being subject to prior authorization, dollar limit, co-payment, coinsurance, deductible provision, or any other out-of-pocket expense that does not apply to intravenously administered or injected anticancer drugs.
Prohibits achieving compliance by reclassifying drugs or increasing cost-sharing expenses imposed on anticancer drugs. Provides that if out-of-pocket expenses are increased for anticancer drugs then the same must also be applied to the majority of comparable medical or pharmaceutical benefits of the policy, contract, or plan.
Applies to insurance contracts issued, renewed, or amended on or after January 1, 2020.
NC CANCER TREATMENT FAIRNESS.
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View NCGA Bill Details | 2019-2020 Session |
AN ACT RELATING TO HEALTH BENEFIT PLAN COVERAGE FOR ORALLY ADMINISTERED ANTICANCER DRUGS.Intro. by Zachary, Lewis, Lambeth.
Status: Ref To Com On Rules and Operations of the Senate (Senate action) (May 6 2019)
Bill History:
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Wed, 27 Mar 2019 House: Filed
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Thu, 28 Mar 2019 House: Passed 1st Reading
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Thu, 28 Mar 2019 House: Passed 1st Reading
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Tue, 16 Apr 2019 House: Reptd Fav
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Tue, 16 Apr 2019 House: Re-ref Com On Rules, Calendar, and Operations of the House
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Mon, 6 May 2019 House: Reptd Fav
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Mon, 6 May 2019 House: Cal Pursuant Rule 36(b)
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Mon, 6 May 2019 House: Added to Calendar
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Mon, 6 May 2019 House: Passed 2nd Reading
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Mon, 6 May 2019 House: Passed 3rd Reading
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Mon, 6 May 2019 House: Special Message Sent To Senate
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Mon, 6 May 2019 Senate: Special Message Received From House
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Mon, 6 May 2019 Senate: Passed 1st Reading
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Mon, 6 May 2019 Senate: Ref To Com On Rules and Operations of the Senate
H 480
Bill Summaries:
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Bill H 480 (2019-2020)Summary date: Mar 27 2019 - View Summary
View: All Summaries for Bill