SB 820: Health Insurance Prior Authorization
Health Insurance Prior Authorization; Prohibiting health maintenance organizations from excluding coverage for certain cancer treatment drugs; prohibiting health insurers and health maintenance organizations from requiring, before providing prescription drug coverage for the treatment of stage 4 metastatic cancer and associated conditions, that treatment has failed with a different drug; requiring health insurers to provide and disclose procedures for insureds to request exceptions to step-therapy protocols; prohibiting health insurers, under certain circumstances, from retroactively denying a claim at any time because of insured ineligibility, etc.
Last Action: 3/14/2020 Senate - Died in Banking and Insurance
Bill Text: Web Page | PDF
SB 820, Original Filed Version (Current Bill Version) Posted 11/7/2019 at 9:00 AM
Bill Text: Web Page | PDF Analyses: None
Related Bills (3)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills H 261 Coverage for Cancer and Associated Conditions Drug Treatment Brown, Toledo Compare Last Action: 3/14/2020 H Died in Health Market Reform Subcommittee H 373 Health Insurance Coverage Massullo Compare Last Action: 3/14/2020 H Died in Health Market Reform Subcommittee S 672 Coverage for Cancer and Associated Conditions Drug Treatment Mayfield Compare Last Action: 3/14/2020 S Died in Banking and Insurance
Citations - Statutes (7)
Citation Catchline Location in Bill Location In Bill Help 627.4239 Coverage for use of drugs in treatment of cancer. Page 3 (pdf) 627.42392 Prior authorization. Page 6 (pdf) 627.42393 Step-therapy protocol. Page 9 (pdf) 627.6131 Payment of claims. Page 14 (pdf) 641.31 Health maintenance contracts. Page 14 (pdf) 641.3155 Prompt payment of claims. Page 19 (pdf) 641.3156 Treatment authorization; payment of claims. Page 19 (pdf)
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