FIRST REGULAR SESSION

SENATE BILL NO. 181

90TH GENERAL ASSEMBLY


INTRODUCED BY SENATOR MAXWELL.

Pre-filed December 21, 1998, and 1,000 copies ordered printed.



TERRY L. SPIELER, Secretary.

S0854.01I


AN ACT

To amend chapter 376, RSMo, by adding thereto one new section relating to insurance coverage for cancer early detection.


Be it enacted by the General Assembly of the State of Missouri, as follows:

Section A.  Chapter 376, RSMo, is amended by adding thereto one new section, to be known as section 376.1195, to read as follows:

376.1195.  1.  All individual and group health insurance policies providing coverage on an expense incurred basis, individual and group service or indemnity type contracts issued by a nonprofit corporation, individual and 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 December 31, 1999, and providing coverage to any resident of this state shall provide benefits or coverage for:

(1)  A pelvic examination and pap smear for any nonsymptomatic woman covered under such policy or contract, in accordance with the current American Cancer Society guidelines;

(2)  A prostate examination and laboratory tests for cancer for any nonsymptomatic man covered under such policy or contract, in accordance with the current American Cancer Society guidelines; and

(3)  A colorectal cancer examination and laboratory tests for cancer for any nonsymptomatic person covered under such policy or contract, in accordance with the current American Cancer Society guidelines.

2.  To encourage public health and diagnostic health screenings, such services shall be provided with no deductible due and payable, but a patient shall be liable for any copayment not to exceed twenty-five dollars, if such a copayment is required pursuant to the patient's health care coverage.  Nothing in this act shall apply to accident-only, hospital indemnity, Medicare supplement, long-term care, or other limited benefit health insurance policies.




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