Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:
‘Sec. 1. 24-A MRSA §4317-B is enacted to read:
Sec. 2. Application. This Act applies to all policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State on or after January 1, 2015. For purposes of this Act, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.’
summary
This amendment replaces the bill and requires health insurance carriers that provide coverage for cancer chemotherapy to include coverage for orally administered anticancer medications that is equivalent to the coverage provided for intravenously administered or injected anticancer medications. The requirement applies to all policies, contracts and certificates issued or renewed on or after January 1, 2015.
The amendment also clarifies that the provision does not limit a carrier's ability to establish a prescription drug formulary and does not require a carrier to cover an orally administered anticancer medication simply because it is an alternative to an intravenously administered or injected anticancer medication.
FISCAL NOTE REQUIRED
(See attached)