,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #gda  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #ab1 #bjai,ms4    
,smi? 7= h]self1 ,mr4 ,moran1 ,mr4      
,murphy1 & ,mr4 ,wick]7 introduc$ !     
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,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 ( #bjai4  #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      
#bjbj1 & ) 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