Text: SF00488 Text: SF00490 Text: SF00400 - SF00499 Text: SF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. NEW SECTION. 514C.13 PROSTATE CANCER
1 2 SCREENING AND DIAGNOSIS BENEFITS.
1 3 1. Notwithstanding section 514C.6, a person who provides
1 4 an individual or group policy of accident or health insurance
1 5 or individual or group hospital or health care service
1 6 contract issued pursuant to chapter 509, 509A, 514, or 514A,
1 7 or an individual or group health maintenance organization
1 8 contract issued and regulated under chapter 514B, which is
1 9 delivered, amended, or renewed on or after July 1, 1997, shall
1 10 provide coverage for medically recognized diagnostic screening
1 11 for prostate cancer. The coverage shall be provided for
1 12 diagnostic screening services provided upon the recommendation
1 13 of a physician and shall include, but not be limited to, both
1 14 of the following:
1 15 a. A digital rectal examination and prostate-specific
1 16 antigen test at any age for covered persons having a prior
1 17 history of prostate cancer.
1 18 b. An annual examination including a digital rectal
1 19 examination and prostate-specific antigen test for each of the
1 20 following classifications:
1 21 (1) Asymptomatic men, aged fifty or older.
1 22 (2) African-American men, aged forty or older.
1 23 (3) Men with a family history of prostate cancer, aged
1 24 forty or older.
1 25 2. Preauthorization or precertification for benefits
1 26 provided under the coverage provided under this section shall
1 27 not be required.
1 28 EXPLANATION
1 29 This bill requires a person who provides an individual or
1 30 group policy of accident or health insurance or individual or
1 31 group hospital or health care service contract, or an
1 32 individual or group health maintenance organization contract,
1 33 which is delivered, amended, or renewed on or after July 1,
1 34 1997, to provide coverage for diagnostic screening for
1 35 prostate cancer. The bill provides that preauthorization or
2 1 precertification for benefits provided under such coverage
2 2 shall not be required.
2 3 LSB 2030SV 77
2 4 mj/sc/14
Text: SF00488 Text: SF00490 Text: SF00400 - SF00499 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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