summary
Introduced
03/13/2019
03/13/2019
In Committee
03/14/2019
03/14/2019
Crossed Over
Passed
Dead
12/31/2020
12/31/2020
Introduced Session
116th Congress
Bill Summary
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
This bill, the Cancer Drug Parity Act of 2019, requires group and individual health insurance plans to provide cost-sharing for oral anticancer drugs that is no less favorable than the cost-sharing for anticancer medications administered by a healthcare provider. Specifically, the bill mandates that health plans covering provider-administered anticancer drugs must also provide cost-sharing that is equally favorable for patient-administered oral anticancer medications that are FDA-approved, medically necessary, and clinically appropriate. The bill also prohibits health plans from making changes to benefits or reclassifying them in a way that would increase out-of-pocket costs for oral anticancer drugs or apply more restrictive limitations on them compared to intravenously administered or injected anticancer medications. The amendments made by this bill will apply to group health plans starting in 2020 and individual/group market health insurance coverage offered, sold, or renewed on or after that date.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (171)
Brian Higgins (D)*,
Ralph Abraham (R),
Alma Adams (D),
Colin Allred (D),
Mark Amodei (R),
Kelly Armstrong (R),
Cindy Axne (D),
Nanette Barragán (D),
Joyce Beatty (D),
Ami Bera (D),
Jack Bergman (R),
Gus Bilirakis (R),
Earl Blumenauer (D),
Lisa Blunt Rochester (D),
Suzanne Bonamici (D),
Mike Bost (R),
Brendan Boyle (D),
Susan Brooks (R),
Larry Bucshon (R),
Tim Burchett (R),
Buddy Carter (R),
Matt Cartwright (D),
Ed Case (D),
Joaquin Castro (D),
Judy Chu (D),
Gil Cisneros (D),
Yvette Clarke (D),
Emanuel Cleaver (D),
Steve Cohen (D),
Tom Cole (R),
Gerry Connolly (D),
Paul Cook (R),
TJ Cox (D),
Angie Craig (D),
Dan Crenshaw (R),
Joe Cunningham (D),
Rodney Davis (R),
Susan Davis (D),
Peter DeFazio (D),
Mark DeSaulnier (D),
Theodore Deutch (D),
Debbie Dingell (D),
Lloyd Doggett (D),
Michael Doyle (D),
Sean Duffy (R),
Eliot Engel (D),
Veronica Escobar (D),
Dwight Evans (D),
Brian Fitzpatrick (R),
Bill Flores (R),
Lois Frankel (D),
Mike Gallagher (R),
John Garamendi (D),
Greg Gianforte (R),
Lance Gooden (R),
Josh Gottheimer (D),
Al Green (D),
Morgan Griffith (R),
Raúl Grijalva (D),
Glenn Grothman (R),
Michael Guest (R),
Brett Guthrie (R),
Vicky Hartzler (R),
Alcee Hastings (D),
Jody Hice (R),
Clay Higgins (R),
Jim Himes (D),
Chrissy Houlahan (D),
Richard Hudson (R),
Will Hurd (R),
Sheila Jackson-Lee (D),
Bill Johnson (R),
Dave Joyce (R),
John Joyce (R),
Marcy Kaptur (D),
John Katko (R),
Bill Keating (D),
Trent Kelly (R),
Joseph Kennedy (D),
Ro Khanna (D),
Derek Kilmer (D),
Andy Kim (D),
Peter King (R),
Ann Kuster (D),
Bob Latta (R),
Andy Levin (D),
Daniel Lipinski (D),
Zoe Lofgren (D),
Billy Long (R),
Elaine Luria (D),
Stephen Lynch (D),
Tom Malinowski (D),
Carolyn Maloney (D),
Sean Maloney (D),
Kenny Marchant (R),
Brian Mast (R),
Doris Matsui (D),
Lucy McBath (D),
Michael McCaul (R),
Betty McCollum (D),
Jim McGovern (D),
David McKinley (R),
Cathy McMorris Rodgers (R),
Gregory Meeks (D),
Paul Mitchell (I),
John Moolenaar (R),
Gwen Moore (D),
Joe Morelle (D),
Seth Moulton (D),
Stephanie Murphy (D),
Jerry Nadler (D),
Grace Napolitano (D),
Dan Newhouse (R),
Eleanor Holmes Norton (D),
Tom O'Halleran (D),
Pete Olson (R),
Steven Palazzo (R),
Chris Pappas (D),
Ed Perlmutter (D),
Chellie Pingree (D),
Mark Pocan (D),
Bill Posey (R),
David Price (D),
Jamie Raskin (D),
Kathleen Rice (D),
Max Rose (D),
Harley Rouda (D),
Lucille Roybal-Allard (D),
Dutch Ruppersberger (D),
Bobby Rush (D),
John Rutherford (R),
Tim Ryan (D),
John Sarbanes (D),
Mary Gay Scanlon (D),
Adam Schiff (D),
Kim Schrier (D),
Austin Scott (R),
David Scott (D),
F. James Sensenbrenner (R),
Albio Sires (D),
Elissa Slotkin (D),
Lloyd Smucker (R),
Darren Soto (D),
Ross Spano (R),
Jackie Speier (D),
Elise Stefanik (R),
Greg Steube (R),
Haley Stevens (D),
Steve Stivers (R),
Tom Suozzi (D),
Eric Swalwell (D),
Mark Takano (D),
Bennie Thompson (D),
G.T. Thompson (R),
Scott Tipton (R),
Paul Tonko (D),
Lori Trahan (D),
David Trone (D),
Mike Turner (R),
Lauren Underwood (D),
Jeff Van Drew (R),
Tim Walberg (R),
Michael Waltz (R),
Debbie Wasserman Schultz (D),
Bonnie Watson Coleman (D),
Bruce Westerman (R),
Susan Wild (D),
Rob Wittman (R),
Steve Womack (R),
John Yarmuth (D),
Don Young (R),
Last Action
Referred to the Subcommittee on Health. (on 03/14/2019)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/116th-congress/house-bill/1730/all-info |
| BillText | https://www.congress.gov/116/bills/hr1730/BILLS-116hr1730ih.pdf |
| Bill | https://www.congress.gov/116/bills/hr1730/BILLS-116hr1730ih.pdf.pdf |
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