SB 738 Michigan Senate · 2023-2024 Regular Session

Insurance: health insurers; coverage for antineoplastic drugs; expand. Amends sec. 3406e of 1956 PA 218 (MCL 500.3406e).

This bill requires health insurance companies in Michigan to cover specific cancer drugs, including genetic therapies and immunotherapies like CAR-T cell therapy, even when used for purposes not originally approved by the FDA. Coverage is mandated for any FDA-approved drug used in cancer treatment if a physician orders it based on current medical evidence, the drug is part of a standard cancer regimen, and the patient provides informed consent for the off-label use. The law ensures that insurers must pay for the medication and its reasonable administration costs under these conditions, regardless of whether the specific cancer being treated matches the drug's initial FDA approval. This change directly affects patients seeking advanced cancer treatments and the insurance providers that must now include these therapies in their policies.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2024
Committee Review
Floor Vote
Governor
Introduced Mar 5, 2024 Last action Dec 12, 2024
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Full legislative history

Actions timeline

Total actions
4
Key actions
1
Committee
3
Dec 12, 2024
Committee
REFERRED TO COMMITTEE OF THE WHOLE
upper
Dec 12, 2024
Upper · Passed
REPORTED FAVORABLY WITHOUT AMENDMENT
upper
Mar 5, 2024
Committee
REFERRED TO COMMITTEE ON FINANCE, INSURANCE, AND CONSUMER PROTECTION
upper
Mar 5, 2024
Introduced
INTRODUCED BY SENATOR JEFF IRWIN
upper
1 primary · 9 co-sponsors

Sponsors