Relating to insurance coverage for health care services related to the prevention of ovarian cancer

The inclusion of this explanation does not constitute agreement with the explanation’s substance by the members of the general assembly. This bill relates to insurance coverage for health care services related to the prevention of ovarian cancer, and shall be known as “Barbara’s Bill”. The bill requires a policy, contract, or plan providing for third-party payment or prepayment of health or medical expenses to provide coverage for an annual cervical smear test or pap smear test, and for surveillance testing for ovarian cancer for covered persons at risk for ovarian cancer. “Surveillance testing for ovarian cancer” is defined in the bill as annual screening using CA 125 blood testing, a transvaginal ultrasound, and a pelvic examination. “At risk for ovarian cancer” is defined as a family history that includes one or more first degree relatives that have had ovarian cancer, clusters of female relatives that have had breast cancer or nonpolyposis colorectal cancer; or testing positive for either the BRCA1 or BRCA2 mutation. Coverage required under the bill shall not be less favorable than coverage a health carrier offers for general physical illness. Cost-sharing requirements imposed for coverage required under the bill shall not be less favorable than cost-sharing requirements imposed by a health carrier for general physical illness. The bill applies to third-party payment providers enumerated in the bill. The bill specifies the types of specialized health-related insurance which are not subject to the bill. The commissioner of insurance is required to adopt rules to administer the bill. The bill applies to third-party payment provider contracts, policies, or plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2024.