2013 -- S 0428

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LC01278

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STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2013

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A N A C T

RELATING TO INSURANCE - ORALLY ADMINISTERED ANTICANCER MEDICATION

     

     

     Introduced By: Senators Goldin, Ottiano, Jabour, Picard, and Cool Rumsey

     Date Introduced: February 26, 2013

     Referred To: Senate Health & Human Services

It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness

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Insurance Policies" is hereby amended by adding thereto the following section:

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     27-18-79. Orally administered anticancer medication - Coverage mandated. -- Every

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individual or group hospital or medical expense, insurance policy or individual or group hospital

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or medical services plan contract, plan or certificate of insurance delivered, issued for delivery, or

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renewed in this state shall provide coverage for prescribed, orally administered anticancer

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medications used to kill or slow the growth of cancerous cells on a basis no less favorable than

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intravenously administered or injected cancer medications that are covered as medical benefits.

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An increase in patient cost sharing for anticancer medications shall not be allowed to achieve

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compliance with this section.

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     SECTION 2. Chapter 27-19 of the General Laws entitled "Individual Health Insurance

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Coverage" is hereby amended by adding thereto the following section:

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     27-19-70. Orally administered anticancer medication – Coverage mandated. -- Every

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individual or group hospital or medical expense, insurance policy or individual or group hospital

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or medical services plan contract, plan or certificate of insurance delivered, issued for delivery, or

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renewed in this state shall provide coverage for prescribed, orally administered anticancer

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medications used to kill or slow the growth of cancerous cells on a basis no less favorable than

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intravenously administered or injected cancer medications that are covered as medical benefits.

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An increase in patient cost sharing for anticancer medications shall not be allowed to achieve

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compliance with this section.

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     SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service

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Corporations" is hereby amended by adding thereto the following section:

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     27-20-66. Orally administered anticancer medication – Coverage mandated. -- Every

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individual or group hospital or medical expense, insurance policy or individual or group hospital

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or medical services plan contract, plan or certificate of insurance delivered, issued for delivery, or

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renewed in this state shall provide coverage for prescribed, orally administered anticancer

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medications used to kill or slow the growth of cancerous cells on a basis no less favorable than

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intravenously administered or injected cancer medications that are covered as medical benefits.

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An increase in patient cost sharing for anticancer medications shall not be allowed to achieve

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compliance with this section.

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     SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance

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Organizations" is hereby amended by adding thereto the following section:

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      27-41-83.  Orally administered anticancer medication – Coverage mandated. –

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Every individual or group hospital or medical expense, insurance policy or individual or group

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hospital or medical services plan contract, plan or certificate of insurance delivered, issued for

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delivery, or renewed in this state shall provide coverage for prescribed, orally administered

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anticancer medications used to kill or slow the growth of cancerous cells on a basis no less

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favorable than intravenously administered or injected cancer medications that are covered as

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medical benefits. An increase in patient cost sharing for anticancer medications shall not be

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allowed to achieve compliance with this section.

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     SECTION 5. This act shall take effect upon passage.

     

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LC01278

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N A C T

RELATING TO INSURANCE - ORALLY ADMINISTERED ANTICANCER MEDICATION

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     This act would require insurance coverage for prescribed, orally administered anticancer

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medication just as there is coverage for intravenously administered or injected anticancer

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medications.

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     This act would take effect upon passage.

     

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LC01278

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S0428