Bill Text: NJ A5194 | 2018-2019 | Regular Session | Introduced


Bill Title: Requires physician to offer to test patient for dihydropyrimidine dehydrogenase deficiency prior to patient undergoing chemotherapy.

Spectrum: Partisan Bill (Republican 2-0)

Status: (Introduced) 2019-03-18 - Introduced, Referred to Assembly Health and Senior Services Committee [A5194 Detail]

Download: New_Jersey-2018-A5194-Introduced.html

ASSEMBLY, No. 5194

STATE OF NEW JERSEY

218th LEGISLATURE

 

INTRODUCED MARCH 18, 2019

 


 

Sponsored by:

Assemblyman  CHRISTOPHER P. DEPHILLIPS

District 40 (Bergen, Essex, Morris and Passaic)

Assemblyman  KEVIN J. ROONEY

District 40 (Bergen, Essex, Morris and Passaic)

 

 

 

 

SYNOPSIS

     Requires physician to offer to test patient for dihydropyrimidine dehydrogenase deficiency prior to patient undergoing chemotherapy.

 

CURRENT VERSION OF TEXT

     As introduced.

  


An Act concerning chemotherapy and supplementing Title 17B of the New Jersey Statutes and Title 26 of the Revised Statutes. 

 

     Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

     1.    a. A physician shall offer to test a patient for dihydropyrimidine dehydrogenase deficiency prior to the patient undergoing chemotherapy. 

     b.    As used in this act, "dihydropyrimidine dehydrogenase deficiency" means a disorder in which the human body experiences difficultly or is unable to breakdown chemotherapy drugs leading to a harmful reaction.

 

     2.    An individual health insurance policy that is delivered, issued, executed, or renewed in this State pursuant to chapter 26 of Title 17B of the New Jersey Statutes, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in conducting one test for dihydropyrimidine dehydrogenase deficiency every year and any prescription drug treatment of dihydropyrimidine dehydrogenase deficiency, if the policy provides prescription drug benefits.

     The benefits shall be provided to the same extent as for any other condition under the policy.

     This section shall apply to those policies in which the insurer has reserved the right to change the premium.

 

     3.    A group health insurance policy that is delivered, issued, executed, or renewed in this State pursuant to chapter 27 of Title 17B of the New Jersey Statutes, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in conducting one test for dihydropyrimidine dehydrogenase deficiency every year and any prescription drug treatment of dihydropyrimidine dehydrogenase deficiency, if the policy provides prescription drug benefits.

     The benefits shall be provided to the same extent as for any other condition under the policy.

     This section shall apply to those policies in which the insurer has reserved the right to change the premium.

 

     4.    An individual health benefits plan that is delivered, issued, executed, or renewed in this State pursuant to P.L.1992, c.161 (C.17B:27A-2 et seq.), or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in conducting one test for dihydropyrimidine dehydrogenase deficiency every year and any prescription drug treatment of dihydropyrimidine dehydrogenase deficiency, if the health benefits plan provides prescription drug benefits.

     The benefits shall be provided to the same extent as for any other condition under the health benefits plan.

     This section shall apply to those health benefits plans in which the carrier has reserved the right to change the premium.

 

     5.    A small employer health benefits plan that is delivered, issued, executed, or renewed in this State pursuant to P.L.1992, c.162 (C.17B:27A-17 et seq.), or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in conducting one test for dihydropyrimidine dehydrogenase deficiency every year and any prescription drug treatment of dihydropyrimidine dehydrogenase deficiency, if the health benefits plan provides prescription drug benefits.

     The benefits shall be provided to the same extent as for any other condition under the health benefits plan.

     This section shall apply to those health benefits plans in which the carrier has reserved the right to change the premium.

 

     6.    A health maintenance organization contract that is delivered, issued, executed, or renewed in this State pursuant to P.L.1973, c.337 (C.26:2J-1 et seq.), or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in conducting one test for dihydropyrimidine dehydrogenase deficiency every year and any prescription drug treatment of dihydropyrimidine dehydrogenase deficiency, if the health maintenance organization contract provides health care services for prescription drugs.

     The health care services shall be provided to the same extent as for any other condition under the contract.

     This section shall apply to those contracts for health care services under which the right to change the schedule of charges for enrollee coverage is reserved.

 

     7.    Pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), the Commissioner of Health, in consultation with the State Board of Medical Examiners, shall pass rules and regulations to effectuate the provisions of section 1 of this act, and the Department of Banking and Insurance shall pass rules and regulations to effectuate the provisions of sections 2 through 76 of this act. 

 

     8.    This act shall take effect 90 days after the date of enactment.

STATEMENT

 

     This bill requires a physician to offer to test a patient for dihydropyrimidine dehydrogenase deficiency prior to the patient undergoing chemotherapy.  Dihydropyrimidine dehydrogenase deficiency is a disorder in which the human body experiences difficultly or is unable to breakdown chemotherapy drugs leading to a harmful reaction.

     Under the bill, health insurance plans in this State are to cover expenses incurred in conducting one test for dihydropyrimidine dehydrogenase deficiency every year.

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