state_legiscan_drain · PA
In quality health care accountability and protection, further providing for definitions and providing for utilization management for stage four, advanced metastatic cancer drugs; and making a repeal.
April 21, 2026
Summary
If enacted, this bill would amend Pennsylvania's insurance law to prohibit utilization management (such as step therapy and prior authorization) for stage four advanced metastatic cancer drugs, ensuring direct access to prescribed treatments for patients. It would affect health insurers and managed care organizations in Pennsylvania by restricting their ability to impose fail-first requirements on these critical medications.
AI-generated summary · Jun 14, 2026. Verify with your compliance counsel before acting.
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Source: https://www.palegis.us/legislation/bills/2025/hb2427
Common questions
- What does "In quality health care accountability and protection, further providing for definitions and providing for utilization management for stage four, advanced metastatic cancer drugs; and making a repeal." cover?
- If enacted, this bill would amend Pennsylvania's insurance law to prohibit utilization management (such as step therapy and prior authorization) for stage…
- When was it published?
- It was published on April 21, 2026.