Bill > S741

Introduced Session

A bill to amend the Public Health Service Act to require group and individual health insurance coverage and group health plans to provide for cost sharing for oral anticancer drugs on terms no less favorable than the cost sharing provided for anticancer medications administered by a health care provider. This bill requires health plans that cover anticancer medications administered by a health care provider to provide no less favorable cost sharing for patient-administered anticancer medications. This requirement applies to medications that are (1) approved by the Food and Drug Administration; (2) medically necessary for the cancer treatment; and (3) clinically appropriate in terms of type, frequency, extent site, and duration.To comply with this requirement, health plans may not, with respect to anticancer medications (1) change or replace benefits to increase out-of-pocket costs, (2) reclassify benefits to increase costs, or (3) apply more restrictive limitations to orally administered medications than to intravenously administered or injected medications.

AI Summary

Committee Categories

Tina Smith (D)*,  Tammy Baldwin (D),  Marsha Blackburn (R),  Richard Blumenthal (D),  John Boozman (R),  Sherrod Brown (D),  Shelley Moore Capito (R),  Susan Collins (R),  Kevin Cramer (R),  Cindy Hyde-Smith (R),  Doug Jones (D),  Amy Klobuchar (D),  Ed Markey (D),  Jeff Merkley (D),  Jerry Moran (R),  Lisa Murkowski (R),  Chris Murphy (D),  Rick Scott (R),  Sheldon Whitehouse (D),  Roger Wicker (R), 

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (on 03/12/2019)

Official Document