ENGROSSED ORIGINAL
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2 A BILL
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4 25-229
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6 IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
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8 _________________
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11 To amend the Prostate Cancer Screening Insurance Coverage Requirement Act of 2002 to
12 provide cost-free coverage of one prostate-specific antigen test and digital rectal exam
13 per year and prohibit any health insurer from imposing a deductible, coinsurance,
14 copayment, or other cost-sharing requirement for prostate cancer screening.
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16 BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this
17 act may be cited as the “Cost-Free Coverage for Prostate Cancer Screening Amendment Act of
18 2024”.
19 Sec. 2. Section 3 of the Prostate Cancer Screening Insurance Coverage Requirement Act
20 of 2002, effective March 25, 2003 (D.C. Law 14-233; D.C. Official Code § 31-2952), is
21 amended as follows:
22 (a) Subsection (a) is amended by striking the phrase “the latest screening guidelines
23 issued by the American Cancer Society for the ages, family histories, and frequencies referenced
24 in such guidelines” and inserting the phrase “the latest screening guidelines issued by
25 the National Comprehensive Cancer Network, to include no less than one prostate-specific
26 antigen test and digital rectal exam per year” in its place.
27 (b) A new subsection (c) is added to read as follows:
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28 “(c) A health insurer shall not impose on an individual receiving benefits pursuant to this
29 section any deductible, coinsurance, copayment, or other cost-sharing requirement, except to the
30 extent that coverage without cost-sharing would disqualify the individual from a high deductible
31 health benefit plan, as defined in 26 U.S.C. § 233(c)(2)), from eligibility for a health savings
32 account pursuant to 26 U.S.C. § 223.”.
33 Sec. 3. Fiscal impact statement.
34 The Council adopts the fiscal impact statement in the committee report as the fiscal
35 impact statement required by section 4a of the General Legislative Procedures Act of 1975,
36 approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a).
37 Sec. 4. Effective date.
38 This act shall take effect following approval by the Mayor (or in the event of veto by the
39 Mayor, action by the Council to override the veto) and a 30-day period of congressional review
40 as provided in section 602(c)(1) of the District of Columbia Home Rule Act, approved December
41 24, 1973 (87 Stat. 813; D.C. Official Code § 1-206.02(c)(1)).
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