| Chapter 008 |
| 2021 -- H 5432 SUBSTITUTE A Enacted 04/29/2021 |
| A N A C T |
| RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES -- THE MARYELLEN GOODWIN COLORECTAL CANCER SCREENING ACT |
| Introduced By: Representatives Ackerman, Chippendale, Hawkins, Baginski, and McNamara |
| Date Introduced: February 08, 2021 |
| It is enacted by the General Assembly as follows: |
| SECTION 1. This act shall be known and may be cited as the "Maryellen Goodwin |
| Colorectal Cancer Screening Act.” |
| SECTION 2. Section 27-18-58 of the General Laws in Chapter 27-18 entitled "Accident |
| and Sickness Insurance Policies" is hereby amended to read as follows: |
| 27-18-58. Prostate and colorectal examinations -- Coverage mandated. Prostate and |
| colorectal examinations -- Coverage mandated -- The Maryellen Goodwin Colorectal Cancer |
| Screening Act. |
| (a) Every individual or group hospital or accident and sickness insurance policy, 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 prostate and |
| colorectal preventive screening examinations and laboratory tests for cancer for any |
| nonsymptomatic person covered under that policy or contract, in accordance with the current |
| American Cancer Society guidelines. The coverage required by this section shall include preventive |
| colorectal cancer screening coverage for all colorectal cancer examinations and laboratory tests in |
| accordance with American Cancer Society Guidelines guidelines, including for colorectal cancer |
| screening of average risk individuals, including an initial colonoscopy or other medical test or |
| procedure for colorectal cancer screening and a follow-up colonoscopy if the results of the initial |
| medical test or procedure are abnormal. Provided, this section does not apply to insurance coverage |
| providing benefits for: (1) hospital Hospital confinement indemnity; (2) disability Disability |
| income; (3) accident Accident only; (4) long Long-term care; (5) Medicare supplement; (6) limited |
| Limited benefit health; (7) specific Specific disease indemnity; (8) sickness Sickness or bodily |
| injury or death by accident, or both; and (9) other Other limited benefit policies. |
| (b) An insurer may not impose cost sharing on the coverage required by subsection (a) of |
| this section when the services are delivered within the health insurer's provider network. |
| SECTION 3. Section 27-19-49 of the General Laws in Chapter 27-19 entitled "Nonprofit |
| Hospital Service Corporations" is hereby amended to read as follows: |
| 27-19-49. Prostate and colorectal examinations -- Coverage mandated. Prostate and |
| colorectal examinations -- Coverage mandated -- The Maryellen Goodwin Colorectal Cancer |
| Screening Act. |
| (a) Subscribers to any nonprofit hospital service corporation plan shall be afforded |
| coverage under the plan for prostate and colorectal examinations and laboratory tests for cancer for |
| any nonsymptomatic person covered under the policy or plan. contract, in accordance with the |
| current American Cancer Society guidelines. The coverage required by this section shall include |
| preventive colorectal cancer screening coverage for all colorectal cancer examinations and |
| laboratory tests in accordance with American Cancer Society Guidelines guidelines, including for |
| colorectal cancer screening of average risk individuals, including an initial colonoscopy or other |
| medical test or procedure for colorectal cancer screening and a follow-up colonoscopy if the results |
| of the initial medical test or procedure are abnormal. |
| (b) An insurer or the corporation may not impose cost sharing on the coverage required by |
| subsection (a) of this section when the services are delivered within the health insurer's provider |
| network. |
| SECTION 4. Section 27-20-44 of the General Laws in Chapter 27-20 entitled "Nonprofit |
| Medical Service Corporations" is hereby amended to read as follows: |
| 27-20-44. Prostate and colorectal examinations -- Coverage mandated. Prostate and |
| colorectal examinations -- Coverage mandated -- The Maryellen Goodwin Colorectal Cancer |
| Screening Act. |
| (a) Subscribers to any nonprofit medical service corporation plan shall be afforded |
| coverage under the plan for prostate and colorectal examinations and laboratory tests for cancer for |
| any nonsymptomatic person covered under the policy or plan. contract, in accordance with the |
| current American Cancer Society guidelines. The coverage required by this section shall include |
| preventive colorectal cancer screening coverage for all colorectal cancer examinations and |
| laboratory tests in accordance with American Cancer Society Guidelines guidelines, including for |
| colorectal cancer screening of average risk individuals, including an initial colonoscopy or other |
| medical test or procedure for colorectal cancer screening and a follow-up colonoscopy if the results |
| of the initial medical test or procedure are abnormal. |
| (b) An insurer or the corporation may not impose cost sharing on the coverage required by |
| subsection (a) of this section when the services are delivered within the health insurer's provider |
| network. |
| SECTION 5. Section 27-41-60 of the General Laws in Chapter 27-41 entitled "Health |
| Maintenance Organizations" is hereby amended to read as follows: |
| 27-41-60. Prostate and colorectal examinations -- Coverage mandated. Prostate and |
| colorectal examinations -- Coverage mandated -- The Maryellen Goodwin Colorectal Cancer |
| Screening Act. |
| (a) Subscribers to any health maintenance organization plan shall be afforded coverage |
| under that plan for prostate and colorectal examinations and laboratory tests for cancer for any |
| nonsymptomatic person covered under the policy or plan. contract, in accordance with the current |
| American cancer society guidelines. The coverage required by this section shall include preventive |
| colorectal cancer screening coverage for all colorectal cancer examinations and laboratory tests in |
| accordance with American Cancer Society Guidelines guidelines, including for colorectal cancer |
| screening of average risk individuals, including an initial colonoscopy or other medical test or |
| procedure for colorectal cancer screening and a follow-up colonoscopy if the results of the initial |
| medical test or procedure are abnormal. |
| (b) An insurer or the organization may not impose cost sharing on the coverage required |
| by subsection (a) of this section when the services are delivered within the health insurer's provider |
| network. |
| SECTION 6. This act shall take effect upon passage and shall apply to policies or plans |
| delivered, issued for delivery or renewed in this state on and after January 1, 2022. |
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| LC000514/SUB A |
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