The bill amends chapter 376 of the Revised Statutes of Missouri by adding a new section,
376.2040, which focuses on insurance coverage for prescription drugs related to advanced, metastatic cancer and its associated conditions. It defines key terms such as "advanced, metastatic cancer," "associated condition," "enrollee," and "health benefit plan," with the latter also including MO HealthNet.
Importantly, the bill stipulates that health benefit plans providing coverage for advanced, metastatic cancer cannot impose requirements on enrollees to first fail a different drug or prove a history of failure with another drug before covering a prescription for the cancer or its associated conditions. The drugs covered must align with best practices, be supported by peer-reviewed literature, and be FDA-approved.
Statutes affected: Introduced (6658H.01):
376.2040