HOUSE BILL 2061 |
HOUSE AUTHOR: Averitt et al. |
EFFECTIVE: 09-01-99 |
SENATE SPONSOR: Sibley |
House Bill 2061 amends the Insurance Code to provide health benefit coverage for certain prescription drugs for enrollees experiencing a chronic, disabling, or life-threatening illness. The act requires health benefit plans to provide coverage for any prescribed drug that has been approved by the Food and Drug Administration for at least one indication and has been recognized as a treatment of the indication by certain drug reference compendia or peer-reviewed literature. In addition, the act requires coverage of medically necessary services associated with the administration of the drug, prohibits a denial based on medical necessity except for reasons unrelated to the legal status of the drug, and creates certain coverage exemptions.