The bill seeks to improve health insurance coverage for individuals diagnosed with advanced metastatic cancer by prohibiting insurers from requiring patients to show a lack of response to alternative medications before they can access FDA-approved treatments for their condition. It defines "advanced metastatic cancer" and "associated conditions" to ensure that insurance coverage aligns with best practices and evidence-based guidelines. Furthermore, the bill amends the Montana Code Annotated (MCA) to mandate that insurance plans include coverage for metastatic cancer treatment, clarifying the obligations of health maintenance organizations in relation to existing insurance laws.

Additionally, the bill modifies Section 33-35-306 of the MCA to clarify how the insurance code applies to self-funded multiple employer welfare arrangements, ensuring that these arrangements adhere to specific insurance regulations. The examination of these arrangements is limited to relevant regulatory matters, streamlining compliance. A new section is also introduced to provide a codification instruction, ensuring that the provisions related to metastatic cancer treatment are officially integrated into Title 33, chapter 22, part 1 of the insurance code.

Statutes affected:
LC Text: 2-18-704, 33-31-111, 33-35-306