Insights

OR State Updates - 2015 Jan 30 No.01


On June 2, 2015, Gov. Brown signed HB 2560 into law, creating Chapter 206 of the 2015 Laws. The law requires plans to provide coverage for all colorectal cancer screening examinations and laboratory tests assigned either A or B grades by the U.S. Preventive Services Task Force (USPSTF). Plans cannot apply cost-sharing requirements to colorectal cancer screening for plan participants 50 years of age and older and coverage must include:

Fecal occult blood tests;

Colonoscopies, including the removal of polyps during screening procedures; or

Double contrast barium enemas; and

Colonoscopies, including the removal of polyps during pro

cedures, if plan participants test positive on any fecal tests assigned either A or B grades by the USPSTF (does not apply to certain HDHPs).

Plans must provide coverage for colorectal cancer screening examinations and laboratory tests as recommended by treating physicians for plan participants considered to be at high risk for colon cancer.

Plan participants are considered to be at high risk for colorectal cancer if they have:

A family medical history of colorectal cancer;

A prior occurrence of cancer or precursor neoplastic polyps;

A prior occurrence of chronic digestive disease condition such as inflammatory bowel disease, Crohn's disease or ulcerative colitis; or

Other predisposing factors.

The law is effective Jan. 1, 2016, but plans must first comply when issued or renewed on or after Jan. 1, 2017 (including plans that according to their terms would renew on or after Jan. 1, 2017, but actually renew before Jan. 1, 2017).

Chapter 206 »