CSHB 393(HES): "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 CS FOR HOUSE BILL NO. 393(HES) 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 coverage for colorectal cancer examinations and laboratory 05 tests specified in American Cancer Society guidelines for colorectal cancer screening 06 of asymptomatic individuals. Coverage shall be provided for all colorectal screening 07 examinations and tests that are administered at a frequency identified in the American 08 Cancer Society guidelines for colorectal cancer. 09 (c) Coverage provided under this section applies to a covered individual who 10 is 11 (1) at least 50 years of age; or 12 (2) less than 50 years of age and at high risk for colorectal cancer. 13 (d) All screening options identified in (b) of this section shall be covered by 14 the insurer, with the choice of option determined by the covered individual in 15 consultation with a health care provider. 16 (e) For individuals considered at average risk for colorectal cancer, coverage 17 or benefits shall be provided for the choice of screening, so long as it is conducted in 18 accordance with the specified frequency. For individuals considered at high risk for 19 colorectal cancer, screening shall be provided at a frequency determined necessary by 20 a health care provider. 21 (f) Each health benefit plan shall notify each covered individual annually of 22 the coverage for colorectal cancer screenings and provide the American Cancer 23 Society guidelines for colorectal cancer screenings. The notice shall be included in the 24 health benefit handbook or be provided by written or electronic communication 25 between a health plan administrator and a covered individual. 26 (g) In this section, "individual considered at high risk for colorectal cancer" 27 means an individual who faces a high risk for colorectal cancer because of 28 (1) family history; 29 (2) prior experience of cancer or precursor neoplastic polyps; 30 (3) a history of chronic digestive disease condition, including 31 inflammatory bowel disease, Crohn's Disease, or ulcerative colitis;