US Colorectal Cancer Screening Laws By State 2006 Resources in United States
US Colorectal Cancer Screening Laws By State 2006 Resources
| State
Year of Enactment Bill Number/Citation |
Coverage Requirements | ||
| Policies covered: | Consumers covered: | Benefits and Services covered: | |
| Alabama (2004) AL S 403 |
Mandated offering for group health benefit plans |
Persons who are 50
years of age or older or high risk. |
Examinations and tests in accordance with ACS guidelines. |
| Arkansas (2005) HB 2781, Act 2236 |
Individual and group HMOs, Medicaid, State Employees’ and Public School Teachers’ Health Insurance Program. | Persons: (1) who are 50 years of age or older; (2) who are less than 50 years of age and at high risk for colorectal cancer according to the ACS guidelines; and (3) experiencing specified symptoms of colorectal cancer. | Examinations and tests in accordace with ACS guidelinges. The covered person will determine the choice of screening strategies in consultation with a health care provider. |
| California (1992) CAL. INS. CODE §§ 10194 and 10194.2 |
Medicare supplement policies only | All Medicare supplemental policies. | Provide preventive medical care coverage of up to $120 per year for services not covered by Medicare, including: (1) a mammogram; and (2) a fecal occult blood test. Tests may be done at a frequency considered medically appropriate. |
| Connecticut (2001) SB 325 Public Act No. 01-171 |
All individual & group plans | Individuals defined by ACS as average and high risk. | Annual fecal occult blood test. Colonoscopy, flexible sigmoidoscopy and radiologic imaging according to American College of Gastroenterology guidelines. |
| Delaware (2000) Title 18Chap. 35 Sub. Chap III§ 3562 |
All individual and group plans, HMO’s, health service corporations | Individuals defined by ACS as average and high risk; screening performed at frequency determined by physician. | Annual fecal occult blood test, colonoscopy every 10 years, flexible sigmoidoscopy every 5 years, and double contrast barium enema every 5 to 10 years. |
| Georgia (2002) 33-24-56.3 |
All health insurance plans | Individuals defined by ACS as average and high risk. | In accordance with ACS screening options. |
| Illinois (1999, amended 2003) SB 1417 |
All individual and group plans | Individuals defined by ACS as average risk. | All cancer screenings and laboratory tests in accordance with the published ACS guidelines or other existing guidelines from government agencies, including the NCI, the CDC, and the American College of
Gastroenterology. |
| Indiana (2000) HB 1293 |
Mandated offering for individual policies;mandated benefit for group self insurance program and HMOs for state employees, and employer-based plans | Individuals defined by ACS as average and high risk. | In accordance with ACS screening options. |
| Louisiana (2005) HB 36 Act 505 |
All insurers or HMOs issuing or renewing on or after Jan. 1, 2006 | Individuals defined by American College of Gastroenterology and ACS as average risk. | Routine screening includes a fecal occult blood test, flexible sigmoidoscopy, or colonoscopy provided in accordance with ACS. |
| Maryland (2001) HB 190/SB 100 |
Insurers, HMOs and nonprofit health services plans | Individuals defined by ACS as average and high risk. | In accordance with ACS screening options. |
| Missouri (1999) 376.1250 |
All individual and group plans | Individuals defined by ACS as average risk. | In accordance with ACS screening options. |
| Nevada (2003) SB 183 NRS 695G.168 |
All individual and group plans | Individuals defined by ACS as average risk. | In accordance with ACS screening options. |
| New Jersey (2001) 17B:26-2.1u |
HMOs and all individual and group plans | Individuals defined by ACS as average and high risk. | In accordance with ACS screening options. |
| North Carolina (1991, 1995, 2001) §58-3-179 |
Teachers and State Employee Major Medical Plan and all health insurance plans | Individuals defined by ACS as average and high risk. | In accordance with ACS screening options. |
| Oklahoma (2001) §36-6060.8a |
Individual and group policies (mandated offering) | Individuals defined by ACS as average and high risk. | Plans required to offer coverage for colorectal examinations and laboratory tests in accordance with accepted published medical practice guidelines. |
| Oregon (2005) SB 501 |
HMOs and all individual and group plans, that cover medical, surgical and hospital costs, after Jan. 1, 2006 | Individuals age 50 and over and high risk as recommended by a physician. | In accordance with ACS screening options. |
| Rhode Island (2000) §27-18-58 |
All individual and group plans | Nonsymptomatic individuals. | In accordance with ACS screening options. |
| Tennessee (2003) §57-7-2363 |
All individual and group plans(mandated offering) | Individuals defined by ACS as average risk. | In accordance with ACS screening options. |
| Texas (2001) §1363.001 |
All health insurance plans | Persons 50 years or older. | Annual fecal occult blood test and a flexible sigmoidoscopy every five years or a colonoscopy every 10 years. |
| Virginia (2000) §38.2-3418.7:1 |
State employees health insurance program, and individual and group plans | Individuals defined by ACS as average and high risk. | In accordance with ACS screening options. |
| West Virginia (2000) §33-25A-8e |
All health insurance plans | Persons age 50 and over; Symptomatic persons less than 50 years of age when reimbursement or indemnity for laboratory or X-ray services are covered under the policy. | Annual fecal occult blood test, flexible sigmoidoscopy every 5 years, colonoscopy every 10 years and a double contrast barium enema every 5 years. |
| Wyoming (2001) HB 0026 |
HMOs and all group plans | Nonsymptomatic individuals | Colorectal cancer examination and laboratory tests. |
Leave a Reply