§ 27-19-71. Orally administered anticancer medication — Cost-sharing requirement.
(a) Every individual or group hospital or medical expense insurance policy, or individual
or group hospital or medical services plan contract, plan, or certificate of insurance
delivered, issued for delivery, or renewed in this state, on or after January 1, 2014,
that offers both medical and prescription drug coverage, and provides coverage for
intravenously administered anticancer medication, shall provide coverage for prescribed,
orally administered anticancer medications used to kill or slow the growth of cancerous
cells on a basis no less favorable than intr
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§ 27-19-71. Orally administered anticancer medication — Cost-sharing requirement.
(a) Every individual or group hospital or medical expense insurance policy, or individual
or group hospital or medical services plan contract, plan, or certificate of insurance
delivered, issued for delivery, or renewed in this state, on or after January 1, 2014,
that offers both medical and prescription drug coverage, and provides coverage for
intravenously administered anticancer medication, shall provide coverage for prescribed,
orally administered anticancer medications used to kill or slow the growth of cancerous
cells on a basis no less favorable than intravenously administered or injected cancer
medications that are covered as medical benefits. An increase in patient cost sharing
for anticancer medications shall not be allowed to achieve compliance with this section.
Notwithstanding the above, the requirements shall not be construed to impose any form
of cap on cost sharing.
(b) This section does not apply to insurance coverage providing benefits for: (1) Hospital
confinement indemnity; (2) Disability income; (3) Accident only; (4) Long-term care;
(5) Medicare supplement; (6) Limited benefit health; (7) Specified disease indemnity;
(8) Sickness or bodily injury or death by accident, or both; and (9) Other limited
benefit policies.