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HB 393: "An Act requiring that certain health care insurance plans provide coverage for the costs of colorectal cancer screening examinations and laboratory tests; and providing for an effective date."

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                                   
06       annually;                                                                                                         
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                                  
10       years;                                                                                                            
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                                
16       is                                                                                                                
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.