AB 974

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.