Read the full stored bill text
Senate
File
272
-
Introduced
SENATE
FILE
272
BY
DAWSON
A
BILL
FOR
An
Act
concerning
retirement
and
employment
benefits
associated
1
with
cancer,
and
making
appropriations.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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272
Section
1.
NEW
SECTION
.
70A.42
Cancer
screening.
1
1.
Beginning
July
1,
2025,
and
for
each
plan
year
2
thereafter,
a
public
employer
shall
provide
as
occupational
3
coverage
to
a
fire
fighter,
police
officer,
or
emergency
4
medical
services
provider,
who
is
employed
as
a
full-time
5
paid
employee
and
enrolled
in
the
employer’s
health
insurance
6
program,
health
care
benefits
that
include
a
cancer
screening
7
examination
conducted
by
a
physician
not
more
than
three
years
8
after
the
start
of
the
person’s
employment
as
a
fire
fighter,
9
police
officer,
or
emergency
medical
services
provider
and
10
every
three
years
thereafter
during
the
course
of
the
person’s
11
employment.
12
2.
A
political
subdivision
of
the
state
shall
be
eligible
13
for
reimbursement
from
the
state
for
the
cost
of
providing
14
the
benefits
required
by
subsection
1.
However,
the
amount
15
reimbursed
to
the
political
subdivision
for
a
cancer
screening
16
examination
shall
not
exceed
one
thousand
two
hundred
fifty
17
dollars
per
three-year
period
per
eligible
employee.
A
18
political
subdivision
shall
maintain
adequate
records
to
19
facilitate
the
reimbursement.
20
3.
A
fire
fighter,
police
officer,
or
emergency
medical
21
services
provider
employed
as
a
full-time
paid
employee
of
22
a
public
employer
shall
not
be
required
to
pay
a
copayment,
23
deductible,
coinsurance,
or
out-of-pocket
expense
for
an
24
examination
under
this
section.
25
4.
For
purposes
of
this
section,
“public
employer”
means
26
the
state
or
a
political
subdivision
of
the
state
that
employs
27
a
fire
fighter,
police
officer,
or
emergency
medical
services
28
provider.
29
Sec.
2.
Section
97A.1,
subsection
6,
Code
2025,
is
amended
30
by
striking
the
subsection
and
inserting
in
lieu
thereof
the
31
following:
32
6.
“Cancer”
means
a
group
of
diseases
involving
abnormal
33
cell
growth
with
the
potential
to
invade
or
spread
to
other
34
parts
of
the
body.
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272
Sec.
3.
Section
411.1,
subsection
6,
Code
2025,
is
amended
1
by
striking
the
subsection
and
inserting
in
lieu
thereof
the
2
following:
3
6.
“Cancer”
means
a
group
of
diseases
involving
abnormal
4
cell
growth
with
the
potential
to
invade
or
spread
to
other
5
parts
of
the
body.
6
Sec.
4.
DEPARTMENT
OF
MANAGEMENT
——
CANCER
SCREENING
7
APPROPRIATION.
There
is
appropriated
from
the
general
fund
of
8
the
state
to
the
department
of
management
for
the
fiscal
year
9
beginning
July
1,
2025,
and
ending
June
30,
2026,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purposes
designated:
12
To
reimburse
political
subdivisions
of
the
state
for
the
13
costs
of
cancer
screening
examinations
pursuant
to
section
14
70A.42,
as
enacted
by
this
Act:
15
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.
$
1,000,000
16
Sec.
5.
IMPLEMENTATION
OF
ACT.
Section
25B.2,
subsection
17
3,
shall
not
apply
to
this
Act.
18
EXPLANATION
19
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
20
the
explanation’s
substance
by
the
members
of
the
general
assembly.
21
This
bill
requires
public
employers
to
provide
health
22
care
benefits
that
include
cancer
screening
examinations
23
to
full-time
fire
fighters,
police
officers,
and
emergency
24
medical
services
providers
within
the
first
three
years
of
a
25
person’s
employment
and
every
three
years
thereafter.
The
26
bill
allows
a
political
subdivision
to
be
reimbursed
by
the
27
state
for
the
costs
of
providing
the
examinations,
up
to
$1,250
28
per
three-year
period
per
eligible
employee.
An
eligible
29
employee
cannot
be
charged
for
receiving
a
cancer
screening
30
examination
under
the
bill.
The
bill
appropriates
$1
million
31
from
the
general
fund
for
FY
2025-2026
to
the
department
of
32
management
for
reimbursing
political
subdivisions
for
the
cost
33
of
providing
cancer
screening
examinations.
34
For
benefits
relating
to
members
of
the
public
safety
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272
peace
officers’
retirement,
accident,
and
disability
system
1
(PORS),
and
the
municipal
fire
and
police
retirement
system
2
(411
system),
the
bill
expands
the
definition
of
“cancer”
3
by
striking
references
to
specific
cancers
and
inserting
a
4
more
generalized
description.
By
expanding
the
definition
of
5
“cancer”
to
include
more
cancer
diagnoses,
the
bill
likewise
6
expands
the
availability
of
accidental
disability
and
death
7
benefits
to
members
of
PORS
or
the
411
system
who
have
a
8
cancer
diagnosis.
By
operation
of
law,
the
bill
also
expands
9
the
definition
of
“cancer”
as
used
in
Code
section
97B.50A
10
for
purposes
of
in-service
disability
retirement
allowance
11
for
special
service
members
under
the
Iowa
public
employees’
12
retirement
system.
13
The
bill
may
include
a
state
mandate
as
defined
in
Code
14
section
25B.3.
The
bill
makes
inapplicable
Code
section
25B.2,
15
subsection
3,
which
would
relieve
a
political
subdivision
from
16
complying
with
a
state
mandate
if
funding
for
the
cost
of
17
the
state
mandate
is
not
provided
or
specified.
Therefore,
18
political
subdivisions
are
required
to
comply
with
any
state
19
mandate
included
in
the
bill.
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