00 HOUSE BILL NO. 393
01 "An Act requiring that certain health care insurance plans provide coverage for the
02 costs of colorectal cancer screening examinations and laboratory tests; and providing
03 for an effective date."
04 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:
05 * Section 1. The uncodified law of the State of Alaska is amended by adding a new section
06 to read:
07 SHORT TITLE. This Act may be known as the Colorectal Cancer Screening Coverage
08 Act of 2006.
09 * Sec. 2. AS 21.42 is amended by adding a new section to read:
10 Sec. 21.42.377. Coverage for colorectal cancer screening. (a) Except for a
11 fraternal benefit society, a health care insurer that offers, issues for delivery, delivers,
12 or renews in this state a health care insurance plan shall provide coverage for the costs
13 of colorectal cancer screening examinations and laboratory tests under the schedule
14 described in (b) of this section. The coverage required by this section is subject to
01 standard policy provisions applicable to other benefits, including deductible or
02 copayment provisions.
03 (b) The minimum coverage required under (a) of this section for colorectal
04 cancer screening includes
05 (1) a fecal occult blood test or fecal immunochemical test conducted
07 (2) a flexible sigmoidoscopy conducted every five years;
08 (3) a combination of a fecal occult blood test or fecal immunochemical
09 test conducted annually along with a flexible sigmoidoscopy conducted every five
11 (4) a colonoscopy conducted every 10 years;
12 (5) a double-contrast barium enema every five years; or
13 (6) any additional medically recognized screening tests for colorectal
14 cancer as required by the commissioner of health and social services.
15 (c) Coverage provided under this section applies to a covered individual who
17 (1) at least 50 years of age; or
18 (2) less than 50 years of age and at high risk for colorectal cancer.
19 (d) All screening options identified in (b) of this section shall be covered by
20 the insurer, with the choice of option determined by the covered individual in
21 consultation with a health care provider.
22 (e) For individuals considered to be at average risk for colorectal cancer,
23 coverage or benefits shall be provided for the choice of screening, so long as it is
24 conducted in accordance with the specified frequency. For individuals considered at
25 high risk for colorectal cancer, screening shall be provided at a frequency determined
26 necessary by a health care provider.
27 (f) Each health care insurer or health benefit plan shall notify each enrollee
28 annually of the coverage for colorectal cancer screenings and provide the current
29 American Cancer Society guidelines for colorectal cancer screenings. The notice shall
30 be delivered by mail unless the enrollee and health carrier have agreed on another
31 method of notification.
01 (g) In this section, "individual considered at high risk for colorectal cancer"
02 means an individual who faces a high risk for colorectal cancer because of
03 (1) family history;
04 (2) prior experience of cancer or precursor neoplastic polyps;
05 (3) a history of chronic digestive disease condition, including
06 inflammatory bowel disease, Crohn's Disease, or ulcerative colitis;
07 (4) the presence of any appropriate recognized gene markers for
08 colorectal cancer; or
09 (5) other predisposing factors.
10 * Sec. 3. This Act takes effect January 1, 2007.