Chapter
405
2005 -- H 5999 SUBSTITUTE A AS AMENDED
Enacted 07/19/05
A N A C T
RELATING TO ACCIDENT AND SICKNESS INSURANCE POLICIES
Introduced By: Representatives Gemma, Faria, Winfield, Sullivan, and Gallison
Date Introduced: March 01,
2005
It is
enacted by the General Assembly as follows:
SECTION 1. Section 27-18-41 of the General Laws in Chapter 27-18 entitled
"Accident
and
Sickness Insurance Policies" is hereby amended to read as follows:
27-18-41.
Mammograms and pap smears -- Coverage mandated. -- (a)(1) Every
individual
or group hospital or medical expense insurance policy or individual or group
hospital
or
medical services plan contract delivered, issued for delivery, or renewed in
this state shall
provide
coverage for mammograms and pap smears, in accordance with guidelines
established by
the
American Cancer Society.
(2)
Notwithstanding the provisions of this chapter, every individual or group
hospital or
medical
insurance policy or individual or group hospital or medical services plan
contract
delivered,
issued for delivery, or renewed in this state shall provide coverage for two
(2)
screening
mammograms per year when recommended by a physician for women who have been
treated
for breast cancer within the last five (5) years or are at high risk of
developing breast
cancer
due to genetic predisposition (BRCA gene mutation or multiple first degree
relatives) or
high
risk lesion on prior biopsy (lobular carcinoma in situ) or atypical ductal
hyperplasia.
(b) This section shall not apply to insurance coverage providing benefits for:
(1) hospital
confinement
indemnity; (2) disability income; (3) accident only; (4) long term care; (5)
Medicare
supplement;
(6) limited benefit health; (7) specified disease indemnity; (8) sickness or
bodily
injury
or death by accident or both; and (9) other limited benefit policies.
SECTION
2. Section 27-19-20 of the General Laws in Chapter 27-19 entitled
"Nonprofit
Hospital
Service Corporations" is hereby amended to read as follows:
27-19-20.
Mammograms and pap smears -- Coverage mandated. – (a)
Subscribers to
any
nonprofit hospital service plan shall be afforded coverage under the plan for
mammograms
and pap
smears, in accordance with guidelines established by the American Cancer
Society.
(b)
Notwithstanding the provisions of this chapter, subscribers to any nonprofit
hospital
service
plan shall be afforded coverage for two (2) screening mammograms per year when
recommended
by a physician for women who have been treated for breast cancer within the
last
five
(5) years or are at high risk of developing breast cancer due to genetic
predisposition (BRCA
gene
mutation or multiple first degree relatives) or high risk lesion on prior
biopsy (lobular
carcinoma
in situ) or atypical ductal hyperplasia.
SECTION
3. Section 27-20-17 of the General Laws in Chapter 27-20 entitled
"Nonprofit
Medical
Service Corporations" is hereby amended to read as follows:
27-20-17.
Mammograms and pap smears -- Coverage mandated. – (a)
Subscribers to
any
nonprofit medical service plan shall be afforded coverage under the plan for
mammograms
and pap
smears, in accordance with guidelines established by the American Cancer
Society.
(b)
Notwithstanding the provisions of this chapter, subscribers to any nonprofit
medical
service
plan shall be afforded coverage for two (2) screening mammograms per year when
recommended
by a physician for women who have been treated for breast cancer within the
last
five (5)
years or are at high risk of developing breast cancer due to genetic
predisposition (BRCA
gene
mutation or multiple first degree relatives) or high risk lesion on prior
biopsy (lobular
carcinoma
in situ) or atypical ductal hyperplasia.
SECTION
4. Section 27-41-30 of the General Laws in Chapter 27-41 entitled "Health
Maintenance
Organizations" is hereby amended to read as follows:
27-41-30.
Mammograms and pap smears -- Coverage mandated. – (a)
Subscribers to
any
health maintenance organization plan shall be afforded coverage under that plan
for
mammograms
and pap smears, in accordance with guidelines established by the American
Cancer
Society.
(b) Notwithstanding the
provisions of this chapter, subscribers to any health maintenance organization
shall be afforded coverage for two (2) paid
screening mammograms per year when recommended by
a physician for women who have been
treated for breast cancer within the last five (5) years or who are
at high risk of developing breast
cancer due to genetic predisposition (BRCA gene mutation or multiple first
degree
relatives) or high risk lesion on prior
biopsy (lobular carcinoma in situ) or atypical ductal hyperplasia.
SECTION 5. This act shall
take effect upon passage.
=======
LC02418/SUB A/2
=======