[§432:1-616]  Chemotherapy services.  (a) All individual and group hospital and medical service plan contracts thatinclude coverage or benefits for the treatment of cancer shall provide paymentor reimbursement for all chemotherapy that is considered medically necessary asdefined in section 432E-1.4, including orally administered chemotherapy, at thesame copayment percentage or relative coinsurance amount as is applied tointravenously administered chemotherapy; provided that this section shall not applyto an accident only, specified disease, hospital indemnity, long-term care, orother limited benefit health insurance policy.

(b)  For the purposes of this section:

"Intravenously administeredchemotherapy" means a physician-prescribed cancer treatment that isadministered through injection directly into the patient's circulatory systemby a physician, physician assistant, nurse practitioner, nurse, or othermedical personnel under the supervision of a physician and in a hospital,medical office, or other clinical setting.

"Oral chemotherapy" means a UnitedStates Food and Drug Administration-approved, physician-prescribed cancertreatment that is taken orally in the form of a tablet or capsule and may beadministered in a hospital, medical office, or other clinical setting or may bedelivered to the patient for self-administration under the direction orsupervision of a physician outside of a hospital, medical office, or otherclinical setting. [L 2009, c 168, §2]