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Stage Four Advanced Metastatic Cancer Step Therapy

Concerning the prohibition against a carrier requiring step therapy for covered persons with stage four advanced metastatic cancer.
2018 Regular Session
Health Care & Health Insurance
Bill Summary

Health insurance - step-therapy prohibition - stage four cancer. The act prohibits a carrier that issues a health benefit plan that covers treatment for stage four advanced metastatic cancer from requiring a cancer patient to undergo step therapy prior to receiving a drug approved by the United States food and drug administration if use of the approved drug is consistent with best practices for treatment of the cancer and as long as the drug is on the carrier's prescription drug formulary.
(Note: This summary applies to this bill as enacted.)


Became Law


Bill Text

The effective date for bills enacted without a safety clause is August 7, 2024, if the General Assembly adjourns sine die on May 8, 2024, unless otherwise specified. Details