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Committee unanimously advances bill banning step therapy for metastatic cancer treatments

Indiana House Insurance Committee · January 20, 2026
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Summary

House Bill 11-14 would bar insurers from requiring step-therapy ("fail-first") protocols for metastatic cancer treatments and related associated conditions; the committee passed the bill 10–0 after patient advocates and oncologists urged the change.

The House Insurance Committee unanimously advanced House Bill 11-14, a bill that would prohibit step-therapy protocols for metastatic cancer treatments and for conditions associated with those treatments.

Representative Pryor, the bill sponsor, said the measure is narrowly targeted to ensure patients with metastatic disease can access prescribed treatments without being forced to try lower-tier drugs first. "House…

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