Advanced, metastatic cancer; delete repealer on prohibition against health plans requiring step therapy before covering certain drugs to treat.
This bill prohibits health insurance plans from requiring patients with advanced, metastatic cancer to try other medications first (step therapy) before covering FDA-approved treatments for their condition. It applies specifically to drugs that align with clinical guidelines and evidence-based medicine, directly affecting patients diagnosed with cancer that has spread and their healthcare providers. The law establishes a process for doctors to request immediate coverage overrides if step therapy delays care, requiring insurers to approve such requests based on medical evidence within 30 days (extendable by 7 days). It ensures faster access to critical treatments without unnecessary delays for patients with advanced cancer.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Feb 2026
House Passage
Feb 2026
Senate Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Feb 5, 2026
Signed Mar 16, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
As Introduced
→
As Passed the lower
·
2 edits
MINOR
The only changes between the As Introduced and As Passed the House versions are technical: the version label was updated to reflect that the bill passed the House, and a line indicating '(As Passed the House)' was added. No substantive policy language was altered.
TECHNICAL
Version label changed from 'As Introduced' to 'As Passed the House' to reflect the bill's legislative status.
A line reading '(As Passed the House)' was added beneath the bill number for formatting purposes.
Floor votes · Senate Mar 4, 2026 · House Feb 4, 2026
How they voted
50–0
Passed · 2 other
Total votes 52
Mar 4, 2026
D
Democratic18
94% Yea
R
Republican34
97% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
11
Key actions
5
Committee
4
Mar 16, 2026
Signed into law
Approved by Governor
executive
Mar 4, 2026
Upper · Passed
Passed
upper
Feb 26, 2026
Upper · Passed
Title Suff Do Pass
upper
Feb 13, 2026
Committee
Referred To Insurance
upper
Feb 5, 2026
Introduced
Transmitted To Senate
lower
Feb 4, 2026
Lower · Passed
Passed
lower
Jan 28, 2026
Lower · Passed
Title Suff Do Pass
lower
Jan 16, 2026
Committee
Referred To Public Health and Human Services
lower
1 primary · 1 co-sponsor
Sponsors
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