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.