Insurance Companies, Agents, Brokers, Policies - As enacted, expands the prohibition, from stage 4 advanced metastatic cancer or metastatic blood cancer to any cancer, against a health benefit plan that provides coverage for cancer requiring the use of a step therapy protocol before the health benefit plan provides coverage for an approved prescription drug to an enrollee who has received a diagnosis of cancer. - Amends TCA Title 8; Title 56; Title 63; Title 68 and Title 71.

Summary

The law expands the existing prohibition on step‑therapy protocols, which previously applied only to stage‑4 metastatic cancers, to cover all cancer diagnoses. Health benefit plans can no longer require patients to try other treatments before covering an approved cancer medication. The change affects insurers, agents, brokers, and anyone with a cancer health plan, aiming to speed access to needed therapies.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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