HB0026 - Health insurance-cancer screenings.

 

2001

State of Wyoming

01LSO-0137

 

 

 

HOUSE BILL NO.  HB0026

 

 

Health insurance-cancer screenings.

 

Sponsored by:

 

 

A BILL

 

for

 

 1  AN ACT relating to group and individual disability
 2  insurance; specifying group or individual disability
 3  insurance benefits or coverage for specified cancer
 4  screenings; authorizing a copayment for cancer screenings
 5  as specified; and providing for an effective date.

 6 

 7  Be It Enacted by the Legislature of the State of Wyoming:

 8 

 9         Section 1.  W.S. 26-18-103 by creating new subsections
10  (c) and (d) and 26-19-107 by creating new subsections (j)
11  and (k) are amended to read:

12 

13         26-18-103.  General requirements for policies.

14 

15         (c)  All disability insurance policies under this
16  chapter providing coverage on an expense incurred basis,

 

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 1  individual service or indemnity type contracts issued by a
 2  nonprofit corporation, individual service contracts issued
 3  by a health maintenance organization, all individual
 4  arrangements to the extent not preempted by federal law and
 5  all managed health care delivery entities of any type or
 6  description, that are delivered, issued for delivery,
 7  continued or renewed on or after July 1, 2001, and
 8  providing coverage to any resident of this state shall
 9  provide benefits or coverage for:

10 

11              (i)  A pelvic examination and pap smear for any
12  nonsymptomatic women covered under such policy or contract;
13  and

14 

15              (ii)  A colorectal cancer examination and
16  laboratory tests for cancer for any nonsymptomatic person
17  covered under such policy or contract;

18 

19              (iii)  A prostate examination and laboratory
20  tests for cancer for any nonsymptomatic man covered under
21  such policy or contract; and

22 

 

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 1              (iv)  A breast cancer examination including a
 2  screening mammogram and clinical breast examination for any
 3  nonsymptomatic woman covered under such policy or contract.

 4 

 5         (d)  To encourage public health and diagnostic health
 6  screenings, the services covered under subsection (c) of
 7  this section shall be provided with no deductible due and
 8  payable, but a patient shall be liable for any copayment
 9  not to exceed twenty-five dollars ($25.00), if such a
10  copayment is required pursuant to the patient's health care
11  coverage. Coverage may be in addition to any other
12  preventive care services. Nothing in this subsection or
13  subsection (c) of this section shall apply to accident
14  only, long-term care or disability income policies.

15 

16         26-19-107.  Group disability and blanket insurance
17  standard provisions; exceptions.

18 

19         (j)  All group and blanket disability insurance
20  policies providing coverage on an expense incurred basis,
21  individual and group service or indemnity type contracts
22  issued by a nonprofit corporation, individual and group
23  service contracts issued by a health maintenance
24  organization, all self-insured group arrangements to the

 

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 1  extent not preempted by federal law and all managed health
 2  care delivery entities of any type or description, that are
 3  delivered, issued for delivery, continued or renewed on or
 4  after July 1, 2001, and providing coverage to any resident
 5  of this state shall provide benefits or coverage for:

 6 

 7              (i)  A pelvic examination and pap smear for any
 8  nonsymptomatic women covered under such policy or contract;
 9  and

10 

11              (ii)  A colorectal cancer examination and
12  laboratory tests for cancer for any nonsymptomatic person
13  covered under such policy or contract;

14 

15              (iii)  A prostate examination and laboratory
16  tests for cancer for any nonsymptomatic man covered under
17  such policy or contract; and

18 

19              (iv)  A breast cancer examination including a
20  screening mammogram and clinical breast examination for any
21  nonsymptomatic woman covered under such policy or contract.

22 

23         (k)  To encourage public health and diagnostic health
24  screenings, the services covered under subsection (j) of

 

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 1  this section shall be provided with no deductible due and
 2  payable, but a patient shall be liable for any copayment
 3  not to exceed twenty-five dollars ($25.00), if such a
 4  copayment is required pursuant to the patient's health care
 5  coverage. Coverage may be in addition to any other
 6  preventive care services. Nothing in this subsection or
 7  subsection (j) of this section shall apply to accident
 8  only, long-term care or disability income policies.

 9 

10         Section 2.  This act is effective July 1, 2001.

11 

12                         (END)

 

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