California Health and Safety Code

§ 1367.656

HSC § 1367.656 Effective Jan 1, 2024Div. 2 · Ch. 2.2 · Art. 5

Statute text

(a)Notwithstanding any other law, an individual or group health care service plan contract issued, amended, or renewed on or after January 1, 2015, that provides coverage for prescribed, orally administered anticancer medications used to kill or slow the growth of cancerous cells shall comply with all of the following:

(1)Notwithstanding any deductible, the total amount of copayments and coinsurance an enrollee is required to pay shall not exceed two hundred fifty dollars ($250) for an individual prescription of up to a 30-day supply of a prescribed orally administered anticancer medication covered by the contract.

(2)For a health care service plan contract that meets the definition of a “high deductible health plan” set forth in Section 223(c)(2) of Title 26 of the United States Code, paragraph (1) shall only apply once an enrollee’s deductible has been satisfied for the year.

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Legislative history

Amended by Stats. 2023, Ch. 607, Sec. 1. (SB 421) Effective January 1, 2024.