STATE OF OKLAHOMA

1st Session of the 52nd Legislature (2009)

SENATE BILL 326	By:	Leftwich

AS INTRODUCED

An Act relating to insurance; amending 36 O.S. 2001, Section 6060.8a, which relates to colorectal cancer coverage; requiring health benefit plans to provide coverage for colorectal cancer examinations to certain individuals; modifying definition; and providing an effective date.

BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1.     AMENDATORY     36 O.S. 2001, Section 6060.8a, is amended to read as follows:
Section 6060.8a  A.  Any health benefit plan, including the State and Education Employees Group Health Insurance Plan, that is offered, issued or renewed in this state on or after January 1, 2002 2010, which provides medical and surgical benefits, shall offer provide coverage for colorectal cancer examinations and laboratory tests for cancer for any nonsymptomatic covered individual, in accordance with standard, accepted published medical practice guidelines for colorectal cancer screening, who is:
1.  At least fifty (50) years of age; or
2.  Less than fifty (50) years of age and at high risk for colorectal cancer according to the standard, accepted published medical practice guidelines.
B.  The coverage provided for by this section shall be subject to the same annual deductibles, co-payments or coinsurance limits as established for other covered benefits under the health plan.
C.  To minimize costs for nonsymptomatic screening, third-party reimbursement may be at the existing Medicaid rate which shall be payment in full.
D.  As used in this section, “health benefit plan” means any plan or arrangement as defined in subsection D of Section 6060.8 of Title 36 of the Oklahoma Statutes this title; provided, however, the provisions of this section shall not apply to policies or certificates issued to individuals or to groups with fifty (50) or fewer employees, or to plans offered under the state Medicaid program.
SECTION 2.  This act shall become effective November 1, 2009.

52-1-420	ARE	1/2/2009 4:06:05 PM