SB 0938 Insurance Coverage For Certains Drugs
LR Number:S3526.01I Fiscal Note:3526-01
Committee:Public Health and Welfare
Last Action:03/25/96 - Hearing Conducted S Public Health & Welfare Committee
Effective Date:August 28, 1996
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Current Bill Summary

SB 938 - This act would require insurance companies to provide coverage for any drugs prescribed to treat a covered illness if: (1) the drug has been approved by the FDA for at least one illness; or (2) if the drug is recognized for treatment of the covered illness in one of the standard reference compendia or in substantially accepted peer-reviewed medical literature.

Insurers are not required to cover any drugs that: (1) the FDA has not approved for any use; (2) a drug that the FDA has advised should not be used for the specific illness; (3) drugs used in research trials sponsored by their manufacturers or a government entity; or (4) drugs used in research trials, if the sponsor of the research trial furnishes the drugs or services without charge to any participant in the research trial.