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MI HB4968

Bill

Status

Introduced

10/13/2015

Primary Sponsor

Julie Plawecki

Click for details

Origin

House of Representatives

98th Legislature

AI Summary

  • 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.

  • 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.

  • 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.

  • Prohibits insurers from applying dollar limits, copayments, deductibles, or coinsurance to required colorectal cancer screening coverage.

  • 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

Committee Referrals

Insurance10/13/2015

Full Bill Text

No bill text available