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Did Not Advance

Kansas HB 2526 Prohibits Step Therapy Requirements for Advanced Metastatic Cancer Drugs

Original title: AN ACT concerning insurance; relating to health insurance plans; establishing restrictions on the use of step therapy protocols for prescription medication.

Last action · April 10, 2026: Died in Committee

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Health insurance plans in Kansas are prohibited from requiring patients with advanced metastatic cancer to try and fail on a different drug before covering an FDA-approved prescription medication prescribed for their condition.

Why it matters

Patients dealing with advanced metastatic cancer gain faster insurance access to prescribed treatments without having to try alternative therapies first, provided the drug is supported by peer-reviewed evidence and FDA approval.

Background
  • Step therapy, often called 'fail first,' is a protocol used by health insurers requiring patients to try cheaper or preferred medications before covering the drug originally prescribed by their healthcare provider. context
  • House Bill 2526 was introduced in the 2025-2026 legislative session and ultimately died in committee. context

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

health benefit plan enrollees

Directly affected

health insurance plans

Health insurance plans are prohibited from enforcing step therapy protocols for specific advanced metastatic cancer treatments.

Directly affected

healthcare practitioners

Practitioners treating advanced metastatic cancer patients can prescribe FDA-approved medications without prior step therapy mandates from insurers.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What does this bill change for cancer patients in Kansas?
It prevents health insurance plans from forcing patients with advanced metastatic cancer to try and fail on other medications before covering the specific FDA-approved prescription drug prescribed by their doctor.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died in committee.

Procedural history

3 actions
  1. Apr 10, 2026House
    Died in Committee
  2. Jan 23, 2026HouseIntroduced
    Introduced
  3. Jan 23, 2026HouseCommittee
    Referred to House Committee on Insurance

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Targeted Insurance Restriction

The bill creates a specific carve-out from standard step therapy rules exclusively for advanced metastatic cancer treatments.

Connected Entities

House Committee on Insurance, United States food and drug administration
OrganizationHouse Committee on Insurance“Sponsoring committee for House Bill 2526”Map →
OrganizationUnited States food and drug administration“Federal agency approving prescription drugs referenced in the bill”Map →

Sources

Open source document

www.kslegislature.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 65)
  • Controversy50
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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