Wash. Rev. Code § 48.21.223

Current through 2024

Section 48.21.223 - Prescribed, self-administered anticancer medication

(1) Each health plan issued or renewed on or after January 1, 2012, that provides coverage for cancer chemotherapy treatment must provide coverage for prescribed, self-administered anticancer medication that is used to kill or slow the growth of cancerous cells on a basis at least comparable to cancer chemotherapy medications administered by a health care provider or facility as defined in *RCW 48.43.005 (25) and (26).

(2) Nothing in this section may be interpreted to prohibit a health plan from administering a formulary or preferred drug list, requiring prior authorization, or imposing other appropriate utilization controls in approving coverage for any chemotherapy.

RCW 48.21.223

Amended by 2020 c 18,§ 20, eff. 6/11/2020.

Added by 2011 c 159,§ 4, eff. 7/22/2011.

*Reviser's note:RCW 48.43.005 was alphabetized pursuant to RCW 1.08.015(2)(k), changing subsections (25) and (26) to subsections (27) and (28). Subsequently, RCW 48.43.005 was amended by 2024 c 218 s 1, changing subsections (27) and (28) to subsections (29) and (30).

Explanatory statement- 2020 c 18 : See note following RCW 43.79A.040.

Findings- 2011 c 159 : See note following RCW 41.05.175.