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