Introduced Version
House Bill 4457 History
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Key: Green = existing Code. Red = new code to be enacted
H. B. 4457
(By Mr. Speaker, Mr. Kiss, and Delegates Leach,
Mezzatesta, Douglas, Trump, Staton and Beane)
[Introduced February 9, 2000; referred to the
Committee on Banking and Insurance then Government Organization.]
A BILL to amend article fifteen, chapter thirty-three of the code
of West Virginia, one thousand nine hundred thirty-one, as
amended, by adding thereto a new section, designated section
four-f; to amend article sixteen of said chapter by adding
thereto a new section, designated section three-l; to amend
article twenty-four of said chapter by adding thereto a new
section, designated section seven-f; to amend article
twenty-five of said chapter by adding thereto a new section,
designated section eight-e; and to amend article twenty-five-a
of said chapter by adding thereto a new section, designated
section eight-e, all relating to requiring insurance companies
that provide health care coverage to provide for colorectal cancer examinations and laboratory tests for cancer.
Be it enacted by the Legislature of West Virginia:
That article fifteen, chapter thirty-three of the code of West
Virginia, one thousand nine hundred thirty-one, as amended, be
amended by adding thereto a new section, designated section four-f;
that article sixteen of said chapter be amended by adding thereto
a new section, designated section three-l; that article twenty-four
of said chapter be amended by adding thereto a new section,
designated section seven-f; that article twenty-five of said
chapter be amended by adding thereto a new section, designated
section eight-e; and that article twenty-five-a of said chapter be
amended by adding thereto a new section, designated section eight-
e, all to read as follows:
ARTICLE 15. ACCIDENT AND SICKNESS INSURANCE.
§33-15-4f. Third party reimbursement for colorectal cancer
examination and laboratory testing.
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 must not be denied for a
colorectal cancer examination and laboratory tests for cancer for any nonsymptomatic person covered under the policy or contract, in
accordance with the current American cancer society guidelines,
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. A policy, provision, contract, plan or
agreement may apply to colorectal cancer examinations and
laboratory tests for cancer, the same deductibles, coinsurance and
other limitations as apply to other covered services.
ARTICLE 16. GROUP ACCIDENT AND SICKNESS INSURANCE.
§33-16-3l. Third party reimbursement for colorectal cancer
examination and laboratory testing.
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 must not be denied for a
colorectal cancer examination and laboratory tests for cancer for
any nonsymptomatic person covered under the policy or contract, in
accordance with the current American cancer society guidelines,
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. A policy, provision, contract, plan or agreement may apply to colorectal cancer examinations and
laboratory tests for cancer, the same deductibles, coinsurance and
other limitations as apply to other covered services.
ARTICLE 24. HOSPITAL SERVICE CORPORATIONS, MEDICAL SERVICE
CORPORATIONS, DENTAL SERVICE CORPORATIONS AND
HEALTH SERVICE CORPORATIONS.
§33-24-7f. Third party reimbursement for colorectal cancer
examination and laboratory testing.
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 must not be denied for a
colorectal cancer examination and laboratory tests for cancer for
any nonsymptomatic person covered under the policy or contract, in
accordance with the current American cancer society guidelines,
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. A policy, provision, contract, plan or
agreement may apply to colorectal cancer examinations and
laboratory tests for cancer, the same deductibles, coinsurance and
other limitations as apply to other covered services.
ARTICLE 25. HEALTH CARE CORPORATIONS.
§33-25-8e. Third party reimbursement for colorectal cancer
examination and laboratory testing.
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 must not be denied for a
colorectal cancer examination and laboratory tests for cancer for
any nonsymptomatic person covered under the policy or contract, in
accordance with the current American cancer society guidelines,
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. A policy, provision, contract, plan or
agreement may apply to colorectal cancer examinations and
laboratory tests for cancer, the same deductibles, coinsurance and
other limitations as apply to other covered services.
ARTICLE 25A. HEALTH MAINTENANCE ORGANIZATION ACT.
§33-25A-8e. Third party reimbursement for colorectal cancer
examination and laboratory testing.
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 must not be denied for a
colorectal cancer examination and laboratory tests for cancer for
any nonsymptomatic person covered under the policy or contract, in
accordance with the current American cancer society guidelines,
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. A policy, provision, contract, plan or
agreement may apply to colorectal cancer examinations and
laboratory tests for cancer, the same deductibles, coinsurance and
other limitations as apply to other covered services.
NOTE: The purpose of this bill is to require insurance
companies that provide health care coverage to provide for
colorectal cancer examinations and laboratory tests for cancer.
§§33-15-4f, 33-16-3l, 33-24-7f, 33-25-8e and 33-25A-8e are
new; therefore, strike-throughs and underscoring have been omitted.
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