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S. 1566

Cancer Drug Coverage Parity Act of 2015

Cancer Drug Coverage Parity Act of 2015

This bill amends the Public Health Service Act to require a group or individual health plan that covers anticancer medications administered by a health care provider to provide no less favorable coverage for anticancer medications administered by a patient. A plan may apply to patient-administered anticancer medications only the cost-sharing and limitations that apply to anticancer medications administered by a health care provider.

These requirements apply to medication approved by the Food and Drug Administration that is prescribed based on a finding by the treating physician that the medication is medically necessary for cancer treatment and is clinically appropriate in terms of type, frequency, extent site, and duration.

To comply with these requirements, health plans may not, for 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.

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Sen. Kirk, Mark Steven [R-IL](R-IL)Sponsor
21 cosponsors15 D6 R
21cosponsors1committees2actions1related bills5subjects
  1. IntroReferral

    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

    Health, Education, Labor, and Pensions Committee
  2. IntroReferral10000

    Introduced in Senate

Cancer Drug Coverage Parity Act of 2015 — Informed