Legislation Would Make Certain Oral Cancer Drugs are Covered in Same Way as Traditional IV Chemotherapy
Dec 12 2018
WASHINGTON – U.S. Senators Jerry Moran (R-Kan.) and Tina Smith (D-Minn.) today introduced the Cancer Drug Parity Act to make certain oral cancer drugs are covered in the same way as traditional (IV) chemotherapy to bring down costs for Americans battling cancer. The Cancer Drug Parity Act, which is co-sponsored by Senators Roger Wicker (R-Miss.) and Chris Murphy (D-Conn.), is needed to make certain the way health care covers cancer treatment catches up to the advances in oral cancer medications.
Currently, over 40 states – including Kansas – have passed “oral parity” laws that stop insurers from charging more for prescribed oral cancer medicine than IV chemotherapy. The Cancer Drug Parity Act would build on this work by expanding these protections at the federal level.
“Individuals suffering from cancer deserve the best treatment options available through their insurance,” said Sen. Moran. “As the number of oral cancer drugs increase each year, patients ought to be able to immediately benefit from these medical advancements. This sensible legislation would keep health insurance on pace with the latest cancer treatments, build on laws already implemented in 43 states and expand cancer coverage for oral drugs for 100 million individuals covered through group and individual health plans. I am a strong supporter of medical research to find new treatments, therapies and cures, and I am working to make certain these exciting new treatments can reach cancer patients and ultimately save lives.”
“Many patients face obstacles when accessing oral chemotherapy drugs,” said Director of The University of Kansas Cancer Center and President of the Association of American Cancer Institutes Dr. Roy Jensen, which represents 98 academic cancer centers across North America. “At a time when developments in cancer care are advancing rapidly, it is essential for cancer centers like ours to provide patients with access to the best treatment. For some patients, there are no viable alternatives to oral chemotherapy drugs, which often come with high out-of-pocket costs. Oral chemotherapy is a priority for KU Cancer Center and for AACI, and we are delighted that Senators Moran and Smith are introducing this much-needed legislation.”
“Science is dramatically changing the way cancer is treated. Even with these breakthroughs, too many cancer patients can’t access their treatments because insurance rules have not kept pace with innovation,” said President and CEO of The Leukemia & Lymphoma Society Louis J. DeGennaro, Ph.D. “The Cancer Drug Parity Act will eliminate the financial barriers that stand between many cancer patients and the breakthrough treatments that could save their lives. The Leukemia & Lymphoma Society applauds Senator Smith and Senator Moran for their leadership on behalf of cancer patients and stands ready to work with Congress to move this important bill forward.”
The Cancer Drug Parity Act would:
- Prevent insurers from covering oral and self-administered medicines at different cost-sharing rates than IV chemotherapy;
- Not mandate that healthcare plans provide chemotherapy coverage, but rather only apply to plans already covering chemotherapy.
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