Iowa 2023-2024 Regular Session

Iowa House Bill HF57

Introduced
1/18/23  
Introduced
1/18/23  

Caption

A bill for an act relating to insurance coverage for prescription drugs used in the treatment of metastatic cancer and associated conditions.

Impact

One of the significant implications of HF57 is the prohibition of step therapy protocols for prescription cancer drugs. Step therapy typically requires patients to try less expensive treatments before moving on to more costly ones; however, this bill ensures that patients can access the necessary medications without undergoing potentially harmful delays. This is a crucial advancement in patient care and access to appropriate therapies, as these delays could lead to deteriorating health outcomes for cancer patients. The bill applies to a variety of insurance types and applies from January 1, 2024, onward.

Summary

House File 57 addresses the important issue of insurance coverage for prescription drugs specifically used in the treatment of metastatic cancer and any associated conditions. This legislation mandates that all health insurance policies providing coverage for prescription drugs must also cover prescription drugs designated for treating metastatic cancer, defined as cancer that has spread from its original site to other parts of the body. The bill also clarifies that 'associated conditions' pertain to side effects and symptoms related to metastatic cancer treatment, as evaluated by healthcare professionals.

Contention

Notable points of contention surrounding HF57 include the balance of cost regulation and patient access. Critics may argue that mandating coverage without step therapy could increase healthcare costs for insurance providers and, subsequently, for consumers. Insurance companies express concerns about the financial burden that blanket coverage for novel, sometimes expensive medications may impose on their operations. Nonetheless, advocates highlight the moral imperative of ensuring that patients receive timely and adequate treatment, thus framing the discussion not just in terms of economics but in terms of human rights and health equity.

Companion Bills

IA SSB1009

Related A bill for an act relating to insurance coverage for prescription drugs used in the treatment of metastatic cancer and associated conditions.

Similar Bills

TN SB1382

AN ACT to amend Tennessee Code Annotated, Title 8; Title 56; Title 63; Title 68 and Title 71, relative to step therapy.

IA SSB1009

A bill for an act relating to insurance coverage for prescription drugs used in the treatment of metastatic cancer and associated conditions.

IA SF197

A bill for an act relating to insurance coverage for prescription drugs used in the treatment of metastatic cancer and associated conditions.

IN HB1062

Coverage for certain cancer prescriptions.

TN HB0858

AN ACT to amend Tennessee Code Annotated, Title 8; Title 56; Title 63; Title 68 and Title 71, relative to step therapy.

MD HB1087

Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer

LA HB370

Provides relative to prescription drug benefits for persons with stage-four advanced, metastatic cancer (EN SEE FISC NOTE SG EX See Note)

ND SB2248

Step therapy protocols; to provide for a report to the legislative assembly; to provide for application; and to provide an expiration date.