1.1 	A bill for an act
1.2 	relating to insurance; requiring health plans to limit out-of-pocket costs for oral 
1.3 	anticancer medication;proposing coding for new law in Minnesota Statutes, 
1.4 	chapter 62A.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. [62A.3075] ORAL CHEMOTHERAPY CANCER TREATMENT 
1.7 	COVERAGE.
1.8 	(a) A health plan company that provides coverage under a health plan for cancer 
1.9 	chemotherapy treatment shall not require the co-payments or coinsurance to be higher 
1.10 	than $50 per prescription or refill for orally administered anticancer medication, obtained 
1.11 	through a pharmacy, that is used to kill or slow the growth of cancerous cells, regardless 
1.12 	of formulation or benefit category determination by the health plan company.
1.13 	(b) Nothing in this section shall be interpreted to prohibit a health plan company 
1.14 	from requiring prior authorization or imposing other appropriate utilization controls in 
1.15 	approving coverage for any oral chemotherapy treatment for cancer.
1.16 	(c) For purposes of this section, "pharmacy" includes a pharmacy benefit manager.

1.17 	EFFECTIVE DATE. This section is effective August 1, 2010, and applies to 
1.18 	health plan coverage offered, issued, sold, renewed, or continued as defined in Minnesota 
1.19 	Statutes, section 60A.02, subdivision 2a, on or after that date.