HF 873: Relating to insurance coverage for prescription drugs used in the treatment of stage IV cancer, and including applicability provisions

What it does

This bill relates to insurance coverage for prescription drugs used in the treatment of stage IV cancer. The bill requires policies, contracts, or plans providing for third-party payment or prepayment of health or medical expenses that provide coverage for prescription drugs to provide coverage for prescription cancer drugs. “Prescription cancer drug” is defined in the bill as a prescription drug that is used to treat stage IV cancer. “Stage IV cancer” is also defined in the bill. The policy, contract, or plan is required to provide coverage, without imposing a step therapy protocol, for a prescription cancer drug that has been approved by the United States food and drug administration, the use of which is in accordance with medical standards of care for stage IV cancer, and the use of which is supported by peer-reviewed, evidence-based literature.

In plain words

1. April 21, 2021Filed in the House and sent to the Commerce committee