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MI HB4968
Bill
Status
10/13/2015
Primary Sponsor
Julie Plawecki
Click for details
AI Summary
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Requires insurers delivering or renewing hospital, medical, surgical, or health maintenance organization policies to cover colorectal cancer screening examinations and laboratory tests assigned a grade A or B by the United States Preventive Services Task Force.
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For individuals age 50 or older, coverage must include one of the following: annual fecal occult blood test with flexible sigmoidoscopy every 5 years, colonoscopy every 10 years (including polyp removal), or double contrast barium enema every 5 years.
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For individuals at high risk for colorectal cancer, coverage must include screening examinations and laboratory tests as recommended by a health care provider; high-risk factors include family history of colorectal cancer, prior cancer or precursor polyps, chronic digestive diseases, or other predisposing factors.
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Prohibits insurers from applying dollar limits, copayments, deductibles, or coinsurance to required colorectal cancer screening coverage.
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Applies to policies, certificates, and contracts delivered, executed, issued, amended, adjusted, or renewed in Michigan beginning one year after enactment; does not apply to specified disease or accident-only coverage.
Legislative Description
Insurance; health insurers; coverage for colorectal exams; require under certain circumstances. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406t.
State agencies (existing): insurance and financial services
Last Action
Printed Bill Filed 10/14/2015
10/14/2015