PA HB1123

Lowers the mandatory colorectal cancer screening age from 50 to 45 years old for nonsymptomatic individuals covered by health insurance policies in Pennsylvania

Eliminates cost-sharing (deductibles, coinsurance, copayments) for routine colorectal cancer screenings and follow-up colonoscopies after positive initial screening tests

Adds CT colonography and multi-target stool DNA tests (every 1-3 years) to the list of covered screening methods, updating guidelines from 2008 to current American Cancer Society (May 2018) and U.S. Multi-Society Task Force (June 2017) recommendations

Expands coverage to all health insurance policies in Pennsylvania, replacing the previous limitation to group policies with 51+ employees, while excluding accident-only, limited benefit, dental, vision, and other specialty plans

Takes effect 60 days after enactment, applying to newly filed policies immediately and to policies not requiring rate filings within 180 days