Text: HF00103 Text: HF00105 Text: HF00100 - HF00199 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. NEW SECTION. 514C.21 OVARIAN CANCER
1 2 MONITORING TESTS.
1 3 1. As used in this section, unless the context otherwise
1 4 requires:
1 5 a. "At risk for ovarian cancer" means any of the
1 6 following:
1 7 (1) Having a family history that includes at least one of
1 8 the following:
1 9 (a) One or more relatives within the first or second
1 10 degree of consanguinity with ovarian cancer.
1 11 (b) Clusters of relatives with breast cancer.
1 12 (c) Hereditary nonpolyposis colon cancer.
1 13 (2) Testing positive for BRCA1 or BRCA2 mutations.
1 14 (3) Having a personal history of breast or colon cancer.
1 15 (4) Having a personal history involving prolonged use of
1 16 fertility drugs, especially if the results of such use were
1 17 unsuccessful.
1 18 b. "Screening tests" means annual or semiannual medical
1 19 examinations using any or all of the following:
1 20 (1) CA-125 serum tumor marker testing.
1 21 (2) Transvaginal ultrasound.
1 22 (3) Pelvic examination.
1 23 2. Notwithstanding the uniformity of treatment
1 24 requirements of section 514C.6, a policy, contract, or plan
1 25 providing for third-party payment or prepayment of health or
1 26 medical expenses shall provide coverage benefits for screening
1 27 tests for women aged thirty-five and older who are at risk for
1 28 ovarian cancer.
1 29 3. Benefits provided pursuant to this section shall be
1 30 subject to the same annual deductibles, coinsurance, or
1 31 copayment established for all other covered benefits within a
1 32 policy, contract, or plan.
1 33 4. a. This section applies to the following classes of
1 34 third-party payment provider contracts, policies, or plans
1 35 delivered, issued for delivery, continued, or renewed in this
2 1 state on or after July 1, 2003:
2 2 (1) Individual or group accident and sickness insurance
2 3 providing coverage on an expense-incurred basis.
2 4 (2) An individual or group hospital or medical service
2 5 contract issued pursuant to chapter 509, 514, or 514A.
2 6 (3) An individual or group health maintenance organization
2 7 contract regulated under chapter 514B.
2 8 (4) Any other entity engaged in the business of insurance,
2 9 risk transfer, or risk retention, which is subject to the
2 10 jurisdiction of the commissioner.
2 11 (5) A plan established pursuant to chapter 509A for public
2 12 employees.
2 13 (6) An organized delivery system licensed by the director
2 14 of public health.
2 15 b. This section shall not apply to accident-only,
2 16 specified disease, short-term hospital or medical, hospital
2 17 confinement indemnity, credit, dental, vision, Medicare
2 18 supplement, long-term care, basic hospital and medical-
2 19 surgical expense coverage as defined by the commissioner,
2 20 disability income insurance coverage, coverage issued as a
2 21 supplement to liability insurance, workers' compensation or
2 22 similar insurance, or automobile medical payment insurance.
2 23 EXPLANATION
2 24 This bill adds a new section to Code chapter 514C,
2 25 requiring certain health insurance policies, contracts, or
2 26 plans issued by insurance companies to cover specific annual
2 27 or semiannual screening tests for women at risk of ovarian
2 28 cancer. The bill defines both "at risk for ovarian cancer"
2 29 and "screening tests". The benefits provided in accordance
2 30 with this section are subject to deductibles, coinsurance, or
2 31 copayments equal to that for other covered benefits in
2 32 accordance with the terms of the policy, contract, or plan.
2 33 LSB 1281YH 80
2 34 jj/cf/24
Text: HF00103 Text: HF00105 Text: HF00100 - HF00199 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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