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LEGISLATURE
OF
THE
STATE
OF
IDAHO
Sixty-eighth
Legislature
Second
Regular
Session
-
2026
IN
THE
HOUSE
OF
REPRESENTATIVES
HOUSE
BILL
NO.
530
BY
HEALTH
AND
WELFARE
COMMITTEE
AN
ACT
1
RELATING
TO
HEALTH
INSURANCE;
AMENDING
CHAPTER
18,
TITLE
41,
IDAHO
CODE,
BY
2
THE
ADDITION
OF
A
NEW
SECTION
41
-
1854,
IDAHO
CODE,
TO
ESTABLISH
PROVI
-
3
SIONS
REGARDING
ANTICANCER
MEDICATIONS;
AND
DECLARING
AN
EMERGENCY
AND
4
PROVIDING
AN
EFFECTIVE
DATE.
5
Be
It
Enacted
by
the
Legislature
of
the
State
of
Idaho:
6
SECTION
1.
That
Chapter
18,
Title
41,
Idaho
Code,
be,
and
the
same
is
7
hereby
amended
by
the
addition
thereto
of
a
NEW
SECTION
,
to
be
known
and
des
-
8
ignated
as
Section
41
-
1854,
Idaho
Code,
and
to
read
as
follows:
9
41
-
1854.
ANTICANCER
MEDICATIONS.
(1)
For
purposes
of
this
section:
10
(a)
"Anticancer
medication"
means
a
drug
or
biologic
used
to
kill,
1
1
slow,
or
prevent
the
growth
of
cancerous
cells,
whether
administered
12
orally,
intravenously,
or
by
injection.
13
(b)
"Health
benefit
plan"
shall
have
the
same
meaning
as
provided
in
14
section
41
-
5903,
Idaho
Code.
15
(2)
A
health
benefit
plan
covering
food
and
drug
administration
-
ap
-
16
proved
anticancer
medications
shall
ensure
that
either:
17
(a)
The
copayment,
deductible,
or
coinsurance
amount
for
prescribed
18
orally
administered
anticancer
medication
is
not
higher
than
that
for
19
an
injected
or
intravenously
administered
anticancer
medication;
or
20
(b)
Out
-
of
-
pocket
costs
to
a
covered
person
for
an
orally
administered
21
anticancer
medication
do
not
exceed
two
hundred
fifty
dollars
($250)
22
per
thirty
(30)
day
supply.
23
(3)
A
health
benefit
plan
covering
an
anticancer
medication
is
not
re
-
24
quired
to
classify
the
anticancer
medication
as
a
medical
benefit.
25
(4)
A
health
benefit
plan
that
provides
coverage
of
anticancer
medica
-
26
tions
shall
not
be
considered
in
compliance
with
the
provisions
of
subsec
-
27
tion
(2)
of
this
section
by:
28
(a)
Increasing
the
copayment,
deductible,
or
coinsurance
amount
re
-
29
quired
for
an
anticancer
medication
covered
under
the
health
benefit
30
plan;
or
31
(b)
Reclassifying
benefits
with
respect
to
anticancer
medications.
32
SECTION
2.
An
emergency
existing
therefor,
which
emergency
is
hereby
33
declared
to
exist,
this
act
shall
be
in
full
force
and
effect
on
and
after
34
July
1,
2026.
35