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HB 633: Insurance Coverages for Drugs and Medical Procedures and Treatments

GENERAL BILL by Tant ; (CO-INTRODUCERS) Joseph

Insurance Coverages for Drugs and Medical Procedures and Treatments; Prohibits health insurers & HMOs from requiring, before providing prescription drug coverage for treatment of stage 4 metastatic cancer & associated conditions, that treatment have failed with different drug; prohibits insurers & HMOs from excluding coverage for certain drugs on certain grounds; prohibits insurers & HMOs from requiring home infusion for certain cancer treatment drugs or that certain cancer treatment drugs be sent to certain entities for home infusion unless certain condition is met; specifies requirement for prior authorization form; specifies requirements for, & restrictions on, health insurers & pharmacy benefits managers relating to prior authorization information, requirements, restrictions, & changes; specifies timeframes in which prior authorization requests must be authorized or denied & patient & patient's provider must be notified.

Effective Date: 1/1/2023
Last Action: 3/14/2022 House - Died in Finance & Facilities Subcommittee
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    11/17/2021 House • Filed
    12/6/2021 House • Referred to Finance & Facilities Subcommittee
    • Referred to Appropriations Committee
    • Referred to Health & Human Services Committee
    • Now in Finance & Facilities Subcommittee
    1/11/2022 House • 1st Reading (Original Filed Version)
    3/12/2022 House • Indefinitely postponed and withdrawn from consideration
    3/14/2022 House • Died in Finance & Facilities Subcommittee

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  • HB 633, Original Filed Version (Current Bill Version) Posted 11/17/2021 at 9:55 AM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 564 Health Insurance Harrell Similar Last Action: 3/14/2022 S Died in Banking and Insurance

    Citations - Statutes (2)

    Citation Catchline Location in Bill Location In Bill Help
    627.4239 Coverage for use of drugs in treatment of cancer. Page 2 (pdf)
    627.42392 Prior authorization. Page 6 (pdf)

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