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Equal Costs for Cancer Drugs: Oral and Intravenous

New rules aim to ensure that insurance plans treat oral cancer medications the same as intravenous ones regarding costs. This means citizens should not pay more for oral anticancer drugs, potentially reducing their treatment expenses. The law is set to take effect from January 1, 2024.
Key points
Insurers cannot charge more for oral cancer drugs than for intravenous ones.
Prohibits increasing cancer treatment costs or reclassifying benefits to raise patient expenses.
The act does not require replacing intravenous drugs with oral ones, nor does it prevent insurers from requiring prior authorization for treatment.
The government will study the impact of these changes on patient out-of-pocket costs.
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Additional Information
Print number: 118_HR_6301
Sponsor: Rep. Grothman, Glenn [R-WI-6]
Process start date: 2023-11-08