HB 623

1	A bill to be entitled
2	An act relating to cancer chemotherapy treatment
3	parity; creating ss. 627.42391 and 641.313, F.S.;
4	requiring individual or group insurance policies and
5	health maintenance contracts providing coverage for
6	cancer chemotherapy treatment to provide at least
7	equally favorable coverage for prescribed, orally
8	administered anticancer medications; specifying that
9	compliance with such requirement may not be achieved
10	by increasing policy or contract copayments,
11	deductibles, or coinsurance amounts applicable to
12	intravenously administered or injected anticancer
13	medications; providing construction; providing an
14	effective date.
15
16	Be It Enacted by the Legislature of the State of Florida:
17
18	Section 1.  Section 627.42391, Florida Statutes, is created
19	to read:
20	627.42391  Cancer chemotherapy treatment parity; orally
21	administered anticancer medication.-
22	(1)  An individual or group insurance policy that provides
23	coverage for cancer chemotherapy treatment must provide coverage
24	for a prescribed, orally administered anticancer medication on a
25	basis no less favorable than that on which it provides coverage
26	for intravenously administered or injected anticancer
27	medications.
28	(2)  An individual or group insurance policy may not
29	achieve compliance with subsection (1) by imposing an increase
30	in the copayment, deductible, or coinsurance amount for
31	intravenously administered or injected anticancer medications
32	covered under the policy on the effective date of this act.
33	(3)  This section may not be construed to:
34	(a)  Prohibit an insurer from requiring prior authorization
35	or imposing other appropriate utilization controls relating to
36	the approval of coverage for the use of cancer chemotherapy
37	treatment.
38	(b)  Require coverage in an individual or group insurance
39	policy for cancer chemotherapy treatment.
40	Section 2.  Section 641.313, Florida Statutes, is created
41	to read:
42	641.313  Cancer chemotherapy treatment parity; orally
43	administered anticancer medication.-
44	(1)  A health maintenance contract that provides coverage
45	for cancer chemotherapy treatment must provide coverage for a
46	prescribed, orally administered anticancer medication on a basis
47	no less favorable than that on which it provides coverage for
48	intravenously administered or injected anticancer medications.
49	(2)  A health maintenance contract may not achieve
50	compliance with subsection (1) by imposing an increase in the
51	copayment, deductible, or coinsurance amount for intravenously
52	administered or injected anticancer medications covered under
53	the contract on the effective date of this act.
54	(3)  This section may not be construed to:
55	(a)  Prohibit a health maintenance organization from
56	requiring prior authorization or imposing other appropriate
57	utilization controls relating to the approval of coverage for
58	the use of cancer chemotherapy treatment.
59	(b)  Require coverage in a health maintenance contract for
60	cancer chemotherapy treatment.
61	Section 3.  This act shall take effect July 1, 2012.

CODING: Words stricken are deletions; words underlined are additions.