{"data":{"id":"us-nh/rsa-415-18-y","jurisdiction":"us-nh","citation":"RSA 415:18-y","heading":"Oral Anti-Cancer Therapies.","body":"I. No insurer that issues or renews any policy of group or blanket accident or health insurance providing benefits for anti-cancer medications that are injected or intravenously administered by a health care provider and patient administered anti-cancer medications, including but not limited to those orally administered or self-injected, shall require a higher copayment, deductible, or coinsurance amount for patient administered anti-cancer medication than it requires for injected or intravenously administered anti-cancer medications, regardless of the formulation or benefit category determination by the policy or plan.\nII. An insurer shall not comply with paragraph I by:\n(a) Increasing the copayment, deductible, or coinsurance amount required for injected or intravenously administered anti-cancer medication that are covered under the policy or plan.\n(b) Reclassifying benefits with respect to anti-cancer medications.\nIII. In this section, \"anti-cancer medication\" means drugs and biologics that are used to kill, slow, or prevent the growth of cancerous cells.\nIV. If the cost-sharing requirements for orally administered anti-cancer medications do not exceed $200 per prescription fill, the health plan shall be deemed in compliance with this section.\nV. For a health care contract that meets the definition of a \"high deductible plan\" set forth in 26 U.S.C. section 223(c)(2), a carrier shall be exempt from the provisions of paragraphs I-IV until an enrollee's deductible has been satisfied for the year.\nVI. This section shall apply only to oral anti-cancer medications where an intravenously administered or injected anti-cancer medication is not medically appropriate.\nVII. This section shall not apply to policies which are solely to replace income or pay a predetermined fixed amount based on the occurrence of a specified medical or health event.","path":["Title XXXVII: INSURANCE","Chapter 415: ACCIDENT AND HEALTH INSURANCE"],"source_url":"https://gc.nh.gov/rsa/html/XXXVII/415/415-18-y.htm","current_through":"2025 regular legislative session, or December 2025","vintage":"","retrieved_at":"2026-09-05T16:06:43Z","sha256":"bf7b51a9acab81a5dbf68bfc95cbf73e270f37c3cfc8c9f67ddd20dff80353df","source_id":"us-nh","stale":false,"prev":"us-nh/rsa-415-18-x","next":"us-nh/rsa-415-18-z"},"notice":"GroundRules: Original legal text. Not legal advice."}