ORIGINAL HOUSE ENGROSSED

BILL NO. 0026

ENROLLED ACT NO. 72, HOUSE OF REPRESENTATIVES

FIFTY-SIXTH LEGISLATURE OF THE STATE OF WYOMING

2001 GENERAL SESSION

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

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

Section 1. W.S. 26-19-107 by creating new subsections
(j) and (k) is amended to read:

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

(j) All group and blanket disability insurance
policies providing coverage on an expense incurred basis,
group service or indemnity type contracts issued by a
nonprofit corporation, group service contracts issued by a
health maintenance organization, all self-insured group
arrangements to the extent not preempted by federal law and
all managed health care delivery entities of any type or
description, that are delivered, issued for delivery,
continued or renewed on or after July 1, 2001, and
providing coverage to any resident of this state shall
provide benefits or coverage for:

(i) A pelvic examination and pap smear for any
nonsymptomatic women covered under the policy or contract;
and

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

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

(iv) A breast cancer examination including a
screening mammogram and clinical breast examination for any
nonsymptomatic person covered under the policy or contract.

(k) To encourage public health and diagnostic health
screenings, the services covered under subsection (j) of
this section shall be provided with no deductible due and
payable. A health plan shall, at a minimum, be liable for
eighty percent (80%) of the reimbursement allowance of the
health plan up to a maximum of two hundred fifty dollars
($250.00) per adult insured per year. A patient shall be
liable for coinsurance up to twenty percent (20%) if such
coinsurance is required pursuant to the patient's health
care coverage. Coverage may be in addition to any other
preventive care services. This subsection shall apply to
private health benefit plans as defined by W.S.
26-1-102(a)(xxxiii) except that it shall not apply to high
deductible policies where the deductible equals or exceeds
one thousand dollars ($1,000.00) per person or per family
per year or policies qualifying as federal medical savings
accounts.

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

(END)

Speaker of the House President of the Senate

Governor

TIME APPROVED: _________

DATE APPROVED: _________

I hereby certify that this act originated in the House.

Chief Clerk

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