Insurance coverage of oral and injected chemotherapy

What it would have done

Summary by the Legislative Reference Bureau, the Legislature's nonpartisan drafting office. It's their wording, not ours.

This bill requires health insurance policies, and self-insured governmental and school district health plans, that cover injected or intravenous chemotherapy or both as a medical benefit and also cover oral chemotherapy, to cover oral chemotherapy as a medical benefit, and apply to oral chemotherapy only the copayments or other cost-sharing amounts that apply to injected or intravenous chemotherapy. In order to comply with those requirements, an insurer or self-insured governmental or school district health plan may not increase the copayment or cost-sharing amount for intravenous or injected chemotherapy more than it increases the copayment or cost-sharing amount for other medical treatment under the policy or plan.

The requirements of the bill apply to individual and group health insurance policies, including limited service health organizations, preferred provider plans, defined network plans, and cooperative associations' health care plans; to health care plans, including a self-insured plan, offered by the state to its employees; and to self-insured health plans of a city, town, village, county, or school district.

Who's behind it

12 lawmakers are its authors⁠. All 12 are Democrats.

2 more lawmakers signed on in support⁠.

What it would cost

State agencies filed a cost estimate. Each opens as a PDF from the Legislature.

• Fiscal Estimate From ETF
• Fiscal Estimate From OCI