Senate Bill No. 196
(By Senator Hunter)
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[Introduced January 10, 2008; referred to the Committee on
Banking and Insurance; and then to the Committee on Finance.]
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A BILL to amend and reenact §33-15-4c of the Code of West Virginia,
1931, as amended, relating to requiring colorectal cancer
screening based on A-level guidelines of the American Cancer
Society; and requiring third-party reimbursement for said
testing.
Be it enacted by the Legislature of West Virginia:
That §33-15-4c of the Code of West Virginia, 1931, as amended,
be amended and reenacted to read as follows:
ARTICLE 15. ACCIDENT AND SICKNESS INSURANCE.
§33-15-4c. Third party reimbursement for mammography, pap smear,
human papilloma virus testing or colorectal cancer
screening.
(a) Notwithstanding any provision of any policy, provision,
contract, plan or agreement to which this article applies, whenever
reimbursement or indemnity for laboratory or X-ray services are covered, reimbursement or indemnification shall not be denied for
any of the following when performed for cancer screening or
diagnostic purposes, at the direction of a person licensed to
practice medicine and surgery by the Board of Medicine:
(1) Mammograms when medically appropriate and consistent with
the current guidelines from the United States Preventive Services
Task Force;
(2) A pap smear, either conventional or liquid-based cytology,
whichever is medically appropriate and consistent with the current
guidelines from either the United States Preventive Services Task
Force or The American College of Obstetricians and Gynecologists
for women age eighteen or over;
or
(3) A test for the human papilloma virus (HPV), for women age
eighteen or over when medically appropriate and consistent with the
current guidelines from either the United States Preventive
Services Task Force or The American College of Obstetricians and
Gynecologists for women age eighteen and over;
or
(4) A test for colorectal cancer based on "A" level screening
guidelines developed by the American Cancer Society.
(b) A policy, provision, contract, plan or agreement may apply
to mammograms, pap smears or human papilloma virus (HPV) test the
same deductibles, coinsurance and other limitations as apply to
other covered services.
NOTE: The purpose of this bill is to require colorectal cancer
screening based on A-level guidelines of the American Cancer
Society; and requiring third party reimbursement for this testing.
Strike-throughs indicate language that would be stricken from
the present law, and underscoring indicates new language that would
be added.
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