S-1092.1
SENATE BILL 5626
State of Washington
65th Legislature
2017 Regular Session
By Senators Miloscia, Cleveland, and Rivers
Read first time 02/01/17. Referred to Committee on Health Care.
AN ACT Relating to prohibiting the use of step therapy in treatments for stage four advanced, metastatic cancer; and adding a new section to chapter 48.43 RCW.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
NEW SECTION.  Sec. 1.  A new section is added to chapter 48.43 RCW to read as follows:
A health benefit plan issued, delivered, or renewed in this state that, as a provision of hospital, medical, or surgical services, directly or indirectly covers the treatment of stage four advanced, metastatic cancer shall not limit or exclude coverage for a drug approved by the United States food and drug administration by mandating that the insured shall first be required to fail to successfully respond to a different drug or drugs or prove a history of failure of such drug or drugs; unless the use of such drug or drugs is consistent with best practices for the treatment of stage four advanced, metastatic cancer and is supported by peer-reviewed medical literature.
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