Requires health plans to cover oral cancer drugs like IV treatments, potentially lowering patient costs.
This bill would make sure that people with cancer who get their treatment through group health plans don't pay more for oral medications than for IV or injected drugs. Currently, health plans can charge more for these take-at-home cancer pills. If passed, this change would take effect for plan years starting in 2027, potentially lowering out-of-pocket costs for many patients.
Today, group health plans are not required to make oral cancer drug costs equal to IV or injected drugs, which can lead to higher out-of-pocket costs for patients. After this bill, group health plans would be required to ensure that cost-sharing for prescribed oral cancer drugs is no more expensive than for IV or injected cancer drugs. This change would start for plan years beginning on or after January 1, 2027.
S 5004 · 119th Congress · July 15, 2026 · AI Summary by gemini-2.5-flash · 8/10
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