Changes the category of medications to which the bill applies from "orally administered" medications to "self administered" medications, requires health plans to offer self administered drugs on a basis at least comparable to chemotherapy medications administered by health providers or facilities (the original bill required the medications to be offered on a comparable basis to chemotherapy medications administered intravenously or by injection) and allows health plans to administer a formulary or preferred drug list. This bill requires health plans that cover chemotherapy treatment to provide coverage for self-administered chemotherapy drugs on a basis at least comparable to drugs administered by a provider or facility.
This bill each health plan offering individual or small group products that provides coverage for prescribed, self-administered anticancer medication as required by this act must report to the Health Committees of the Legislature by November 1, 2013, with a summary of their cost experience.