California Insurance Code

§ 10123.206

INS § 10123.206 Effective Jan 1, 2024Div. 2 · Part 2 · Ch. 1 · Art. 1

Statute text

(a)Notwithstanding any other law, an individual or group health insurance policy 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 insured 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 policy.

(2)For a health insurance policy 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 insured’s deductible has been satisfied for the year.

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Legislative history

Amended by Stats. 2023, Ch. 607, Sec. 2. (SB 421) Effective January 1, 2024.