|
|
| To enact sections 1751.69, 3923.90, and 5111.026 of | 1 |
| the Revised Code to require certain health care | 2 |
| insurers and plans, including the state's | 3 |
| Medicaid program, to offer to provide benefits | 4 |
| for prostate, colorectal, cervical, and ovarian | 5 |
| cancer screening examinations. | 6 |
| Section 1. That sections 1751.69, 3923.90, and 5111.026 of | 7 |
| the Revised Code be enacted to read as follows: | 8 |
| Sec. 1751.69. (A) Notwithstanding section 3901.71 of the | 9 |
| Revised Code, each health insuring corporation providing insurance | 10 |
| for basic health care services in this state shall offer to | 11 |
| provide as a supplemental health care service benefits to its | 12 |
| subscribers for the expenses of examinations and laboratory tests | 13 |
| for the following: | 14 |
| (1) Prostate cancer; | 15 |
| (2) Colorectal cancer; | 16 |
| (3) Ovarian cancer; | 17 |
| (4) Cervical cancer. | 18 |
| (B) If a health insuring corporation provides benefits under | 19 |
| division (A) of this section, the benefits shall be provided: | 20 |
| (1) To any nonsymptomatic individual for whom the most | 21 |
| recently published American cancer society guidelines recommend | 22 |
| screening based on age, health, and other risk factors; | 23 |
| (2) For examinations and laboratory tests that are | 24 |
| recommended by, and performed in accordance with, the most | 25 |
| recently published American cancer society guidelines; | 26 |
| (3) Subject to the same terms and conditions, including | 27 |
| copayment charges, that apply to similar benefits provided under | 28 |
| the policy, contract, or agreement. | 29 |
| Sec. 3923.90. (A) Notwithstanding section 3901.71 of the | 30 |
| Revised Code, each insurance company authorized to do the business | 31 |
| of sickness and accident insurance in this state and each public | 32 |
| employee benefit plan that is established or modified in this | 33 |
| state shall offer to provide benefits for the expenses of | 34 |
| examinations and laboratory tests for the following: | 35 |
| (1) Prostate cancer; | 36 |
| (2) Colorectal cancer; | 37 |
| (3) Ovarian cancer; | 38 |
| (4) Cervical cancer. | 39 |
| (B) If an insurance company authorized to do the business of | 40 |
| sickness and accident insurance in this state or public employee | 41 |
| benefit plan provides benefits under division (A) of this | 42 |
| section, the benefits shall be provided: | 43 |
| (1) To any nonsymptomatic individual for whom the most | 44 |
| recently published American cancer society guidelines recommend | 45 |
| screening based on age, health, and other risk factors; | 46 |
| (2) For examinations and laboratory tests that are | 47 |
| recommended by, and performed in accordance with, the most | 48 |
| recently published American cancer society guidelines; | 49 |
| (3) Subject to the same terms and conditions, including | 50 |
| copayment charges, that apply to similar benefits provided under | 51 |
| the policy or plan. | 52 |
| (C) This section does not apply to any policy that provides | 53 |
| coverage for specific diseases or accidents only, or to any | 54 |
| hospital indemnity, medicare supplement, or other policy that | 55 |
| offers supplemental benefits. | 56 |
| Sec. 5111.026. (A) The provision of medical assistance under | 57 |
| this chapter shall include an offer of coverage of expenses for | 58 |
| examinations and laboratory tests for the following: | 59 |
| (1) Prostate cancer; | 60 |
| (2) Colorectal cancer; | 61 |
| (3) Ovarian cancer; | 62 |
| (4) Cervical cancer. | 63 |
| (B) If the medical assistance program provides benefits under | 64 |
| division (A) of this section, the benefits shall be provided: | 65 |
| (1) To any nonsymptomatic individual for whom the most | 66 |
| recently published American cancer society guidelines recommend | 67 |
| screening based on age, health, and other risk factors; | 68 |
| (2) For examinations and laboratory tests that are | 69 |
| recommended by, and performed in accordance with, the most | 70 |
| recently published American cancer society guidelines; | 71 |
| (3) Subject to the same terms and conditions, including | 72 |
| copayment charges, that apply to similar benefits provided under | 73 |
| the policy, contract, or agreement. | 74 |
| Section 2. Section 1751.69 of the Revised Code, as enacted by | 75 |
| this act, shall apply only to policies, contracts, and agreements | 76 |
| that are delivered, issued for delivery, or renewed in this state | 77 |
| on or after the effective date of this act. Section 3923.90 of the | 78 |
| Revised Code, as enacted by this act, shall apply to policies of | 79 |
| sickness and accident insurance on or after the effective date of | 80 |
| this act in accordance with section 3923.01 of the Revised Code | 81 |
| and to public employee benefit plans that are established or | 82 |
| modified in this state on or after the effective date of this act. | 83 |