Proyectos de ley › 89.ª Asamblea General
Relating to insurance coverage for prescription drugs used in the treatment of stage IV cancer, and including applicability provisions
Dónde está ahora
- Hecho: Presentado21 de abril de 2021
- Se detuvo: SubcomitéMurió al terminar la Asamblea General
- Sigue: Comité de la Cámara
- Sigue: Lo aprueba la Cámara
- Sigue: Comité del Senado
- Sigue: Lo aprueba el Senado
- Sigue: A gobernador(a)
- Sigue: Firmado como ley
Murió al terminar la sesión La sesión de 2022 terminó el 24 de mayo de 2022, la última sesión ordinaria de la Asamblea General. Los proyectos que no pasaron por ambas cámaras murieron. ¿Qué es el embudo (funnel)?
Qué contiene
La explicación oficial está en inglés; todavía no hay resumen en palabras sencillas.
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.
Lea la explicación completa
The policy, contract, or plan must provide coverage, and may impose a step therapy protocol, for a prescription drug that is used to treat “associated conditions”. “Associated conditions” is defined in the bill as symptoms or side effects associated with stage IV cancer, or with the health care services for stage IV cancer provided by a covered person’s health care professional. “Step therapy protocol” is defined in the bill as a protocol or program that establishes a specific sequence in which prescription drugs for a specified medical condition and medically appropriate for a particular covered person are covered under a pharmacy or medical benefit by a health carrier, a health benefit plan, or a utilization review organization, including self-administered drugs and drugs administered by a health care professional. The bill applies to the third-party payment providers enumerated in the bill. The bill specifies the types of specialized health-related insurance which are not subject to the bill. The commissioner of insurance may adopt rules to administer the requirements of the bill. The provisions of the bill are applicable to third-party payment provider contracts, policies, or plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2022.
Lo que cambia del Código de Iowa (Iowa Code)
Crea§514C.24A
Cabildeo
0 a favor · 0 en contra · 1 indecisos · Quiénes →
Family tree
Tried before
89th General Assembly
Earlier and later bills are matched by wording or an identical title.
Tried before
This idea has been filed in an earlier General Assembly. None got through a chamber.
- SF 2384 Relating to insurance coverage for prescription drugs used in the treatment of stage IV ca…88th General Assembly · Approved by committee · nearly identicalCleared committee
- SF 2216 Relating to insurance coverage for diagnostic breast cancer examinations and prescription …88th General Assembly · In committee · similarCleared committee
Similar bills this General Assembly
- SSB 1009 SSB 100990th General Assembly · Subcommittee recommends passageSimilar
- SF 116 Relating to insurance coverage for prescription drugs used in the treatment of metastatic …89th General Assembly · In committeeSimilar
- SF 2165 Relating to insurance coverage for prescription drugs used in the treatment of metastatic …89th General Assembly · In committeeSimilar
- SF 197 Relating to insurance coverage for prescription drugs used in the treatment of metastatic …91st General Assembly · Subcommittee recommends passageSimilar
Matched by wording or an identical title.