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1999 SESSION

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SB 1300 Health insurance; review and coverage of cancer pain medications.

Introduced by: William C. Mims | all patrons    ...    notes | add to my profiles

SUMMARY AS PASSED: (all summaries)

Accident and sickness insurance; utilization review and coverage of cancer pain medications. Requires utilization review agencies to make all decisions on prescriptions for the alleviation of cancer pain within 24 hours. The bill also provides that any individual or group accident and sickness insurance policy providing hospital, medical and surgical or major medical coverage on an expense-incurred basis, any corporation providing individual or group accident and sickness subscription contracts, and any health maintenance organization providing a health care plan for health care services, whose policy, contract or plan, including any certificate or evidence of coverage issued in connection with such policy, contract or plan, includes coverage for prescription drugs, whether on an inpatient or outpatient basis, or both, must provide in each such policy, contract, plan, certificate, and evidence of coverage that such benefits will not be denied for any drug approved by the United States Food and Drug Administration for use in the treatment of cancer pain on the basis that the dosage is in excess of the recommended dosage of the pain-relieving agent, if the prescription in excess of the recommended dosage has been prescribed in compliance with §§ 54.1-2971.01 and 54.1-3408.1 for a patient with intractable cancer pain. These provisions will not apply to short-term travel, or accident-only policies, or to short-term nonrenewable policies of not more than six months’ duration and are applicable to contracts, policies or plans delivered, issued for delivery or renewed in this Commonwealth on and after July 1, 1999.


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