HOUSE BILL No. 4968

 

October 13, 2015, Introduced by Reps. Plawecki, Hoadley, Liberati, Sarah Roberts, Faris, Pagan, Canfield, Chirkun, Gay-Dagnogo, Chang, Hovey-Wright, Derek Miller, Darany, Zemke, Love, Yanez, Brunner, Geiss, Cochran, Irwin, Greig, Garrett and Singh and referred to the Committee on Insurance.

 

     A bill to amend 1956 PA 218, entitled

 

"The insurance code of 1956,"

 

(MCL 500.100 to 500.8302) by adding section 3406t.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 3406t. (1) An insurer that delivers, issues for delivery,

 

or renews in this state an expense-incurred hospital, medical, or

 

surgical policy or certificate or a health maintenance organization

 

that issues or renews a group or individual contract shall include

 

in that policy, certificate, or contract the following coverages

 

for colorectal cancer screening examinations and laboratory tests

 

that the United States Preventive Services Task Force assigns

 

either a grade of A or a grade of B:

 

     (a) If an individual covered under the policy, certificate, or

 


contract is 50 years of age or older, 1 of the following:

 

     (i) One fecal occult blood test each year and 1 flexible

 

sigmoidoscopy every 5 years.

 

     (ii) One colonoscopy every 10 years. As used in this

 

subparagraph, the term "colonoscopy" includes the removal of polyps

 

during a screening procedure.

 

     (iii) One double contrast barium enema every 5 years.

 

     (b) If an individual covered under the policy, certificate, or

 

contract is considered at high risk for colorectal cancer,

 

colorectal cancer screening examinations and laboratory tests as

 

recommended by a health care provider.

 

     (2) An insurer or health maintenance organization shall not

 

subject the coverage required by this section to dollar limits,

 

copayments, deductibles, or coinsurance.

 

     (3) This section does not apply to specified disease or

 

accident-only coverage.

 

     (4) As used in this section, "at high risk for colorectal

 

cancer" means that the individual has 1 of the following:

 

     (a) A family medical history of colorectal cancer.

 

     (b) A prior experience of cancer or precursor neoplastic

 

polyps.

 

     (c) A prior experience of a chronic digestive disease

 

condition, including, but not limited to, inflammatory bowel

 

disease, Crohn's disease, or ulcerative colitis.

 

     (d) Other predisposing factors.

 

     Enacting section 1. This amendatory act applies to policies,

 

certificates, and contracts delivered, executed, issued, amended,

 


adjusted, or renewed in this state, or outside of this state if

 

covering residents of this state, beginning 1 year after the date

 

this amendatory act is enacted into law.