,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #adji  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #g1 #bjag,mr4    
,lance 7= himself1 ,mr4 ,higg9s ( ,new  
,york1 ,mr4 ,h>p]1 ,mr4 ,fo/]1 ,mr4     
,sessions1 ,mr4 ,g>am5di1 ,mr4 ,cumm+s1 
,mr4 ,wittman1 ,mr4 ,ryan ( ,ohio1 ,mr4 
,poe ( ,texas1 ,ms4 ,cl>k (             
,massa*usetts1 ,ms4 ,p+ree1 ,mrs4       
,blackburn1 ,mr4 ,k+ ( ,new ,york1 ,mrs4
 ,com/ock1 ,mr4 ,kildee1 ,mr4 ,donovan1 
,mr4 ,c>t] ( ,georgia1 ,mr4 ,de,fazio1  
,mr4 ,gu?rie1 ,mr4 ,pocan1 ,mr4 ,long1  
,mr4 ,swalwell ( ,cali=nia1 ,mr4        
,flores1 ,mr4 ,sean ,patrick ,maloney ( 
,new ,york1 ,mr4 ,murphy ( ,p5nsylvania1
 ,ms4 ,wass]man ,s*ultz1 ,mr4 ,latta1   
,mr4 ,mac,arthur1 & ,mr4 ,kilm]7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to require gr\p &          
individual heal? insurance cov]age &    
gr\p heal? plans to provide = co/ %>+ = 
oral anticanc] drugs on t]ms no less    

favorable ?an ! co/ %>+ provid$ =       
anticanc] m$ications adm9i/]$ by a heal?
 c>e provid]4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,canc] ,drug ,p>ity    
,act ( #bjag4  #b4 ,p>ity 9 co/ %>+ =   
oral anticanc] drugs  7a7 ,requirem5t   
7#a7 ,9 g5]al ,section #bgai;,a ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#ai;a7 is am5d$ by    
add+ at ! end ! foll[+ new subsection3  
7e7 ,p>ity 9 co/ %>+ = oral anticanc]   
drugs  7#a7 ,9 g5]al ,subject to        
p>agraph 7#b71 a gr\p heal? plan1 & a   
heal? insurance issu] (f]+ gr\p or      
individual heal? insurance cov]age1 t   
provides b5efits ) respect to anticanc] 
m$ications adm9i/]$ by a heal? c>e      
provid] %all provide t any co/ %>+ =    
prescrib$1 pati5t-adm9i/]$ anticanc]    
m$ications t are us$ to kill1 sl[1 or   
prev5t ! gr[? ( canc]\s cells & t h be5 
approv$ by ! ,food & ,drug ,adm9i/ration
 is no less favorable ?an ! co/ %>+ =   
anticanc] m$ications t is intrav5\sly   
adm9i/]$ or inject$ by a heal? c>e      

provid]4  7#b7 ,limitation ,p>agraph    
7#a7 %all only apply to an anticanc]    
m$ication t is prescrib$ bas$ on a f9d+ 
by ! treat+ physician t ! m$ication--   
7,a7 is m$ically necess>y = ! purpose ( 
kill+1 sl[+1 or prev5t+ ! gr[? ( canc]\s
 cells2 or  7,b7 is cl9ically           
appropriate 9 t]ms ( type1 frequ5cy1    
ext5t site1 & duration4  7#c7           
,re/riction on c]ta9 *anges ,a gr\p     
heal? plan or heal? insurance issu] may 
n1 9 ord] to comply ) ! requirem5t (    
p>agraph 7#a71 make *anges to b5efits or
 replace exi/+ b5efits ) new b5efits "u 
! plan or heal? insurance cov]age       
design$ to h ! effect (--  7,a7 impos+  
an increase 9 out-(-pocket co/s )       
respect to anticanc] m$ications2  7,b7  
reclassify+ b5efits ) respect to        
anticanc] m$ications 9 a way t w\ld     
increase su* co/s2 or  7,c7 apply+ m    
re/rictive limitations on prescrib$     
orally adm9i/]$ anticanc] m$ications ?an
 on intrav5\sly adm9i/]$ or inject$     
anticanc] m$ications4  7#d7 ,con/ruction

 ,no?+ 9 ?is subsection %all be         
con/ru$-- 7,a7 to require ! use ( orally
 adm9i/]$ anticanc] m$ications z a      
replacem5t = o!r anticanc] m$ications2  
7,b7 to prohibit a gr\p heal? plan or   
heal? insurance issu] f requir+ prior   
au?orization or impos+ o!r appropriate  
utilization controls 9 approv+ cov]age =
 any *emo!rapy2 or  7,c7 to sup]s$e a   
,/ate law t provides great] protections 
) respect to ! cov]age ) respect to     
orally adm9i/]$ anticanc] m$ications ?an
 is provid$ "u ?is subsection4  7#e7    
,co/ %>+ def9$ ,9 ?is subsection1 ! t]m 
co/ %>+ includes a d$uctible1           
co9surance1 copaym5t1 & any maximum     
limitation on ! application ( su* a     
d$uctible1 co9surance1 copaym5t1 &      
simil> out-(-pocket exp5ses4  4  7#b7   
,con=m+ am5dm5t ,section #bgbd7;c7 ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#bc7;c77 is am5d$ by  
/rik+ section #bgjd & ins]t+ sections   
#bgai;,a1 #bgbe1 & #bgbf4  7b7 ,cl>ify+ 
am5dm5t reg>d+ application to gr&fa!r$  

plans ,section #abea7;a77#d77;,a7 ( !   
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjaa7;a77#d77;,a77
 is am5d$ by add+ at ! end ! foll[+ new 
clause3  7v7 ,section #bgai;,a7e7       
7relat+ to co/ %>+ = oral anticanc]     
drugs74  4  7c7 ,effective date ,!      
am5dm5ts made by ?is section %all apply 
) respect to gr\p heal? plans = plan    
ye>s beg9n+ on or aft] ,janu>y #a1      
#bjah1 & ) respect to heal? insurance   
cov]age (f]$1 sold1 issu$1 r5ew$1 9     
effect1 or op]at$ 9 ! individual or gr\p
 m>ket on or aft] su* date4