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Rules on chemo co-pays

Published (6/1/2010)
By Lauren Radomski
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A new law has implications for people undergoing chemotherapy.

Sponsored by Rep. Patti Fritz (DFL-Faribault) and Sen. Linda Scheid (DFL-Brooklyn Park), the law prohibits health plan companies from charging higher co-pays or deductibles for oral chemotherapy drugs versus those that are injected or infused. Nothing in the law prohibits a company from “requiring prior authorization or imposing other appropriate utilization controls” in approving chemotherapy coverage.

Most of the law takes effect Aug. 1, 2010, and applies to health plans offered, issued, sold, renewed or continued on or after that date. A provision that prohibits companies from increasing co-pays for injected or infused drugs to comply with the law takes effect May 14, 2010.

HF1847/ SF1761*/CH326

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