Revised Code of Washington
Chapter 48.21 - Group and Blanket Disability Insurance.
48.21.223 - Prescribed, self-administered anticancer medication.

RCW 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.

[ 2020 c 18 § 20; 2011 c 159 § 4.]
NOTES:

*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).


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


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

Structure Revised Code of Washington

Revised Code of Washington

Title 48 - Insurance

Chapter 48.21 - Group and Blanket Disability Insurance.

48.21.010 - "Group disability insurance" defined—Issuance.

48.21.015 - "Group stop loss insurance" defined for the purpose of exemption—Scope of application.

48.21.020 - "Employees," "employer" defined.

48.21.030 - Health care groups.

48.21.040 - "Blanket disability insurance" defined.

48.21.045 - Health plan benefits for small employers—Coverage—Exemption from statutory requirements—Premium rates—Requirements for providing coverage for small employers—Definitions.

48.21.047 - Requirements for plans offered to small employers—Definitions.

48.21.050 - Standard provisions required.

48.21.060 - The contract—Representations.

48.21.070 - Payment of premiums.

48.21.075 - Payment of premiums by employee in event of suspension of compensation due to labor dispute.

48.21.080 - Certificates of coverage.

48.21.090 - Age limitations.

48.21.100 - Examination and autopsy.

48.21.110 - Payment of benefits.

48.21.120 - Readjustment of premiums—Dividends.

48.21.125 - When injury caused by intoxication or use of narcotics.

48.21.130 - Podiatric medicine and surgery.

48.21.140 - Optometry.

48.21.141 - Registered nurses or advanced registered nurses.

48.21.142 - Chiropractic.

48.21.143 - Diabetes coverage—Definitions.

48.21.144 - Psychological services.

48.21.146 - Dentistry.

48.21.147 - Dental services that are not subject to contract or provider agreement.

48.21.148 - Denturist services.

48.21.150 - Dependent child coverage—Continuation for incapacity.

48.21.155 - Dependent child coverage—From moment of birth—Congenital anomalies—Notification of birth.

48.21.157 - Option to cover dependents under age twenty-six.

48.21.160 - Chemical dependency benefits—Legislative declaration.

48.21.180 - Chemical dependency benefits—Contracts issued or renewed after January 1, 1988.

48.21.190 - Chemical dependency benefits—RCW 48.21.160 through 48.21.190, 48.44.240 inapplicable, when.

48.21.195 - "Chemical dependency" defined.

48.21.197 - Chemical dependency benefits—Rules.

48.21.200 - Individual or group disability, health care service contract, health maintenance agreement—Reduction of benefits on basis of other existing coverages.

48.21.220 - Home health care, hospice care, optional coverage required—Standards, limitations, restrictions—Rules—Medicare supplemental contracts excluded.

48.21.223 - Prescribed, self-administered anticancer medication.

48.21.225 - Mammograms—Insurance coverage.

48.21.227 - Prostate cancer screening.

48.21.230 - Reconstructive breast surgery.

48.21.235 - Mastectomy, lumpectomy.

48.21.241 - Mental health services—Group health plans—Definition—Coverage required, when.

48.21.242 - Mental health treatment—Waiver of preauthorization for persons involuntarily committed.

48.21.244 - Benefits for prenatal diagnosis of congenital disorders—Contracts entered into or renewed on or after January 1, 1990.

48.21.250 - Continuation option to be offered.

48.21.260 - Conversion policy to be offered—Exceptions, conditions.

48.21.270 - Conversion policy—Restrictions and requirements—Rules.

48.21.280 - Coverage for adopted children.

48.21.290 - Cancellation of rider.

48.21.300 - Phenylketonuria.

48.21.310 - Neurodevelopmental therapies—Employer-sponsored group contracts.

48.21.320 - Temporomandibular joint disorders—Insurance coverage.

48.21.325 - Prescriptions—Preapproval of individual claims—Subsequent rejection prohibited—Written record required.

48.21.330 - Nonresident pharmacies.

48.21.370 - Fixed payment insurance—Standard disclosure form.

48.21.375 - Fixed payment insurance—Benefit restrictions.

48.21.380 - Noninsurance benefits.

48.21.900 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.