INSURANCE – Adds to existing law to establish provisions regarding coverage of anticancer medications under health benefit plans.
Idaho's H 648 requires health benefit plans covering FDA-approved anticancer medications to treat oral and injected drugs equally for cost-sharing (like copays and deductibles) starting January 1, 2027. This directly affects health insurance plans sold in Idaho that cover anticancer medications, ensuring patients pay the same out-of-pocket costs regardless of whether their medication is taken orally or administered via injection. The bill does not prevent insurers from using formularies, prior authorization, or other standard coverage controls. It specifically applies to medications approved by the FDA for cancer treatment, with the law taking effect July 1, 2026, for implementation.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Apr 2026
Introduced Feb 12, 2026
Signed Apr 1, 2026
Floor votes · Senate Mar 25, 2026 · House Mar 10, 2026
How they voted
32–3
Passed · 1 other
Total votes 36
Mar 25, 2026
D
Democratic6
100% Yea
R
Republican30
86% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
23
Key actions
7
Committee
5
Mar 26, 2026
Upper · Passed
Signed by President; returned to House
upper
Mar 26, 2026
Upper · Passed
Received from the House enrolled/signed by Speaker
upper
Mar 26, 2026
Lower · Passed
Reported Enrolled; Signed by Speaker; Transmitted to Senate
lower
Mar 25, 2026
Upper · Passed
Read third time in full – PASSED - 31-3-1AYES – Adams, Bernt, Bjerke(Bjerke), Blaylock, Burtenshaw, Carlson, Cook, Den Hartog, Foreman, Galloway, Grow, Guthrie, Harris, Hart, Keyser, Lakey, Lenney, Lent, Nichols, Okuniewicz, Rabe, Ricks, Ruchti, Semmelroth, Taylor, Toews, Ward-Engelking, Wintrow, Woodward, Zito, ZuiderveldNAYS – Anthon, Kohl, ShippyAbsent and excused – VanOrdenFloor Sponsor - BlaylockTitle apvd - to House
upper
Mar 19, 2026
Upper · Passed
Reported out of Committee with Do Pass Recommendation; Filed for second reading
upper
Mar 11, 2026
Introduced
Introduced, read first time; referred to: Commerce & Human Resources
upper
Mar 10, 2026
Lower · Passed
Read Third Time in Full – PASSED - 66-4-0AYES – Alfieri, Barbieri, Beiswenger, Berch, Bingham, Boyle, Bruce, Burgoyne, Cannon, Cheatum, Church, Cornilles, Crane(12), Crane(13), Dygert, Egbert, Ehardt, Ehlers, Erickson(Larsen), Fuhriman, Furniss, Galaviz, Gannon, Garner, Green, Hall(Stone), Handy, Harris, Haws, Healey, Hill, Holtzclaw, Hostetler, Leavitt, Manwaring, Mathias, McCann, Mendive, Mickelsen, Miller, Mitchell, Monks, Nelsen, Palmer, Petzke, Pickett, Pohanka, Price, Rasor, Raybould,
lower
Mar 2, 2026
Lower · Passed
Reported out of Committee with Do Pass Recommendation, Filed for Second Reading
lower
Feb 17, 2026
Committee
Referred to Business
lower
Feb 17, 2026
Committee
Reported out of Committee, Returned to the Desk for re-referral
lower
Feb 13, 2026
Committee
Reported Printed and Referred to Health & Welfare
lower
Feb 12, 2026
Introduced
Introduced, read first time, referred to JRA for Printing
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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