HB 238

Abstract

Health insurance; coverage for colorectal cancer screening. Requires health insurers to provide coverage for examinations and laboratory tests related to colorectal cancer screening in accordance with the most recently published recommendations established by the U.S. Preventive Services Task Force for colorectal cancer screening for which a rating of A or B is in effect with respect to the individual involved. The bill requires such coverage to include coverage of a follow-up colonoscopy after a positive noninvasive stool-based screening test or direct visualization screening test. The bill prohibits such coverage from being subject to any deductible, coinsurance, or any other cost-sharing requirements for services received from participating providers. The provisions of the bill apply to individual or group accident and sickness insurance policies, individual or group accident and sickness subscription contracts, or health care plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2025.

Health insurance; coverage for colorectal cancerscreening. Requires health insurers to provide coverage for examinationsand laboratory tests related to colorectal cancer screening in accordance with the American Cancer Society guidelines for colorectal cancer screening of average-risk individuals. The bill (i) prohibits suchcoverage from being subject to any deductible, coinsurance, or anyother cost-sharing requirements for services received from participatingproviders and (ii) provides that an initial screening test is notcomplete until a follow-up colonoscopy is performed. The provisionsof the bill apply to individual or group accident and sickness insurance policies, individual or group accident and sickness subscriptioncontracts, or health care plans delivered, issued for delivery, orrenewed in the Commonwealth on and after January 1, 2025.