LB829 LB829
2024 2024
LEGISLATIVE BILL 829
Approved by the Governor April 15, 2024
Introduced by Blood, 3; Hughes, 24; Ibach, 44; DeBoer, 10; Bostar, 29;
Jacobson, 42; Wayne, 13.
A BILL FOR AN ACT relating to insurance; to amend section 44-7,102, Revised Statutes Supplement, 2023; to change provisions relating to coverage for screening for colorectal cancer; to provide an operative date; and to
repeal the original section.
Be it enacted by the people of the State of Nebraska,
Section 1. Section 44-7,102, Revised Statutes Supplement, 2023, is amended to read:
44-7,102 (1) Notwithstanding section 44-3,131, (a) any individual or group sickness and accident insurance policy, certificate, or subscriber contract delivered, issued for delivery, or renewed in this state and any hospital,
medical, or surgical expense-incurred policy, except for short-term major medical policies of six months or less duration and policies that provide coverage for a specified disease or other limited-benefit coverage, and (b) any self-funded employee benefit plan to the extent not preempted by federal law shall include screening coverage for a colorectal cancer examination, and laboratory tests for cancer, and a concurrent removal of polyps or biopsy, or both, for any nonsymptomatic person forty-five years of age or older covered under such policy, certificate, contract, or plan. Such screening coverage shall include a maximum of one stool-based preventive screening test as
approved by the United States Preventive Services Task Force annually and a flexible sigmoidoscopy every five years, a colonoscopy every ten years, or a barium enema every five to ten years, or any combination, or the most reliable,
medically recognized screening test available. The screenings selected shall be
as deemed appropriate by a health care provider and the patient.
(2)(a) (2) On or after December 31, 2023, no policy, certificate, or contract, delivered, issued for delivery, or renewed in this state, or any self-funded employee benefit plan, to the extent not preempted by federal law,
shall impose a deductible, coinsurance, or any other cost-sharing requirements for screening colonoscopies as recommended by the United States Preventive Services Task Force, including those performed as a result of a positive noncolonoscopy stool-based preventive screening test.
(b) No policy, certificate, or contract, delivered, issued for delivery,
or renewed in this state, or any self-funded employee benefit plan, to the extent not preempted by federal law, shall impose a deductible, coinsurance, or any other cost-sharing requirements for any service or item that is an integral part of performing a colorectal cancer screening, including:
(i) Polyp removal performed during the screening procedure;
(ii) Any pathology examination on a polyp biopsy performed as part of the screening procedure;
(iii) Required specialist consultation prior to the screening procedure;
(iv) Bowel preparation medications prescribed for the screening procedure;
and
(v) Anesthesia services performed in connection with a preventive colonoscopy.
Sec. 2. This act becomes operative on January 1, 2025.
Sec. 3. Original section 44-7,102, Revised Statutes Supplement, 2023, is repealed.
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