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AN ACT
RELATING TO HEALTH INSURANCE; REQUIRING INSURERS TO COVER
PERIODIC COLORECTAL CANCER SCREENING TESTS.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
Section 1. A new section of Chapter 59A, Article 22
NMSA 1978 is enacted to read:
"COVERAGE OF COLORECTAL CANCER SCREENING.--
A. An individual or group health insurance policy,
health care plan and certificate of health insurance that is
delivered, issued for delivery or renewed in this state shall
provide coverage for colorectal screening for determining the
presence of precancerous or cancerous conditions and other
health problems. The coverage shall make available colorectal
cancer screening, as determined by the health care provider in
accordance with the evidence-based recommendations established
by the United States preventive services task force.
B. Coverage for colorectal screening may be
subject to deductibles and coinsurance consistent with those
imposed on other benefits under the same policy, plan or
certificate.
C. The provisions of this section shall not apply
to short-term travel, accident-only or limited or specified-
disease policies."
Section 2. A new section of Chapter 59A, Article 23
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NMSA 1978 is enacted to read:
"COVERAGE OF COLORECTAL CANCER SCREENING.--
A. A blanket or group health policy, health care
plan or certificate of health insurance that is delivered,
issued for delivery or renewed in this state shall provide
coverage for colorectal screening for determining the presence
of precancerous or cancerous conditions and other health
problems. The coverage shall make available colorectal cancer
screening, as determined by the health care provider in
accordance with the evidence-based recommendations established
by the United States preventive services task force.
B. Coverage for colorectal screening may be
subject to deductibles and coinsurance consistent with those
imposed on other benefits under the same policy, plan or
certificate.
C. The provisions of this section shall not apply
to short-term travel, accident-only or limited or specified-
disease policies."
Section 3. A new section of the Health Maintenance
Organization Law is enacted to read:
"COVERAGE OF COLORECTAL CANCER SCREENING.--
A. An individual or group health maintenance
organization contract that is delivered, issued for delivery
or renewed in this state shall provide coverage for colorectal
screening for determining the presence of precancerous or
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cancerous conditions and other health problems. The coverage
shall make available colorectal cancer screening, as
determined by the health care provider in accordance with the
evidence-based recommendations established by the United
States preventive services task force.
B. Coverage for colorectal screening may be
subject to deductibles and coinsurance consistent with those
imposed on other benefits under the same policy, plan or
certificate."
Section 4. A new section of the Nonprofit Health Care
Plan Law is enacted to read:
"COVERAGE OF COLORECTAL CANCER SCREENING.--
A. An individual or group health policy, health
care plan or certificate of health insurance that is
delivered, issued for delivery or renewed in this state shall
provide coverage for colorectal screening for determining the
presence of precancerous or cancerous conditions and other
health problems. The coverage shall make available colorectal
cancer screening, as determined by the health care provider in
accordance with the evidence-based recommendations established
by the United States preventive services task force.
B. Coverage for colorectal screening may be
subject to deductibles and coinsurance consistent with those
imposed on other benefits under the same policy, plan or
certificate.
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C. The provisions of this section shall not apply
to short-term travel, accident-only or limited or specified-
disease policies."
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