RECENT LEGISLATION
2012

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Chapter 188, P.L. 2011

Date Approved: January 17, 2012

Effective Date:  This law takes effect on the 180th day after enactment (July 16, 2012) and applies to all contracts and policies issued on or after the effective date.

Description:

This law requires health insurance carriers (hospital, medical, and health service corporations, individual, small employer, and larger group commercial insurers, and health maintenance organizations), the State Health Benefits Program (SHBP), and the School Employees’ Health Benefits Program (SEHBP) to provide coverage for expenses for prescribed, orally administered anticancer medications used to kill or slow the growth of cancerous cells on a basis no less favorable than the policy or contract provides for intravenously administered or injected anti-cancer medications. 

Coverage for prescribed, orally administered anticancer medications will not to be subject to any prior authorization, dollar limit, copayment, deductible, or coinsurance provision that does not apply to intravenously administered or injected anticancer medications.

Additionally, it prohibits a contract or policy from achieving compliance with the provisions of this law by imposing an increase in patient cost sharing for anticancer medications, whether intravenously administered or injected or orally administered, that are covered under the contract or policy as of this law’s effective date.

To view the new law, click here: Chapter 188, P.L. 2012 Adobe PDF (43K)

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Last update: January 18, 2012