Requires insurance coverage of skin cancer screenings

SECOND REGULAR SESSION
HOUSE BILL NO. 1942
103RD GENERAL ASSEMBL Y
INTRODUCED BY REPRESENT A TIVE HRUZA.
4440H.01I JOSEPH ENGLER, Chief Clerk
AN ACT
T o amend chapter 376, RSMo, by adding thereto one new section relating to insurance
coverage of skin cancer screenings.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Chapter 376, RSMo, is amended by adding thereto one new section, to be
2 known as section 376.1249, to read as follows:
376.1249. 1. As used in this section, the following terms mean:
2 (1) "Cost-sharing", any co-payment, coinsurance, deductible, amount paid by
3 an enrol lee for health care services in excess of a coverage limitation, or similar charge
4 r equir ed by or on behalf of an enr ollee in order to receive a specific health car e service
5 cover ed by a health benefit plan. The term "cost-sharing" shall include cost-sharing as
6 defined in 42 U.S.C. Section 18022(c);
7 (2) "Enro llee", the same meaning given to the term in section 376.1350;
8 (3) "Health benefit plan", the same meaning given to the term in section
9 376.1350;
10 (4) "Health care service", the same meaning given to the term in section
11 376.1350;
12 (5) "Health carrier", the same meaning given to the term in section 376.1350.
13 2. Each health carrier or health benefit plan that offers or issues health benefit
14 plans that ar e deliver ed, issued for delivery , continued, or r enewed in this state on or
15 after January 1, 2027, shall provi de coverage for one annual office visit, using
16 appr opriate routine evaluation and management Curr ent Pr ocedural T erminology
17 codes or any successor codes, for a whole body skin examination for lesions suspicious
EXPLANA TION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is
intended to be omitted from the law . Matter in bold-face type in the above bill is proposed language.
18 for skin cancer . The whole body skin examination shall be indicated using an
19 appr opriate International Statistical Classification of Diseases and Related Health
20 Pr oblems code or any successor codes.
21 3. No health carrier or health benefit plan shall impose any cost-sharing
22 r equir ement with r espect to coverage requ ired under this section. If, under federal law ,
23 application of the r equir ement under this subsection would res ult in health savings
24 account ineligibility under Section 223 of the Internal Revenue Code of 1986, as
25 amended, the requ irem ent under this subsection shall apply to health savings account-
26 qualified high deductible health plans with res pect to any cost-sharing of such a plan
27 after the enro llee has satisfied the minimum deductible under Section 223, except with
28 r espect to items or services that are pr eventive car e under Section 223(c)(2)(C) of the
29 Internal Revenue Code of 1986, as amended, in which case the requ irem ent of this
30 subsection shall apply rega rdless of whether the minimum deductible under Section 223
31 has been satisfied.
32 4. The prov isions of this section shall not apply to a supplemental insurance
33 policy , including a life care contract, accident-only policy , specified disease policy ,
34 hospital policy pr oviding a fixed daily benefit only , Medicare supplement policy , long-
35 term car e policy , short-term major medical policy of six months' or less duration, or any
36 other supplemental policy as determined by the dir ector of the department of commer ce
37 and insurance.
✔
HB 1942 2