7 | | - | AN ACT |
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8 | | - | |
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9 | | - | ______________ |
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10 | | - | |
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11 | | - | IN THE COUNCIL OF THE DISTRICT OF COLUMBIA |
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12 | | - | |
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13 | | - | _________________________ |
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14 | | - | |
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15 | | - | |
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16 | | - | To amend the Prostate Cancer Screening Insurance Coverage Requirement Act of 2002 to |
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17 | | - | provide cost-free coverage of one prostate-specific antigen test and digital rectal exam |
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18 | | - | per year and prohibit any health insurer from imposing a deductible, coinsurance, |
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19 | | - | copayment, or other cost-sharing requirement for prostate cancer screening. |
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20 | | - | |
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21 | | - | BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this |
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22 | | - | act may be cited as the “Cost-Free Coverage for Prostate Cancer Screening Amendment Act of |
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23 | | - | 2024”. |
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24 | | - | |
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25 | | - | Sec. 2. Section 3 of the Prostate Cancer Screening Insurance Coverage Requirement Act |
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26 | | - | of 2002, effective March 25, 2003 (D.C. Law 14-233; D.C. Official Code § 31-2952), is |
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27 | | - | amended as follows: |
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28 | | - | (a) Subsection (a) is amended by striking the phrase “the latest screening guidelines |
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29 | | - | issued by the American Cancer Society for the ages, family histories, and frequencies referenced |
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30 | | - | in such guidelines” and inserting the phrase “the latest screening guidelines issued by |
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31 | | - | the National Comprehensive Cancer Network, to include no less than one prostate-specific |
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32 | | - | antigen test and digital rectal exam per year” in its place. |
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33 | | - | (b) A new subsection (c) is added to read as follows: |
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34 | | - | “(c) A health insurer shall not impose on an individual receiving benefits pursuant to this |
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35 | | - | section any deductible, coinsurance, copayment, or other cost-sharing requirement, except to the |
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36 | | - | extent that coverage without cost-sharing would disqualify the individual from a high deductible |
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37 | | - | health benefit plan, as defined in 26 U.S.C. § 223(c)(2)), from eligibility for a health savings |
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38 | | - | account pursuant to 26 U.S.C. § 223.”. |
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39 | | - | |
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40 | | - | Sec. 3. Fiscal impact statement. |
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41 | | - | The Council adopts the fiscal impact statement in the committee report as the fiscal |
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42 | | - | impact statement required by section 4a of the General Legislative Procedures Act of 1975, |
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43 | | - | approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a). |
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44 | | - | |
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45 | | - | |
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46 | | - | ENROLLED ORIGINAL |
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| 7 | + | 1 |
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| 8 | + | A BILL 2 |
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| 9 | + | 3 |
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| 10 | + | 25-229 4 |
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| 11 | + | 5 |
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| 12 | + | IN THE COUNCIL OF THE DISTRICT OF COLUMBIA 6 |
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| 13 | + | 7 |
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| 14 | + | _________________ 8 |
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| 15 | + | 9 |
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| 16 | + | 10 |
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| 17 | + | To amend the Prostate Cancer Screening Insurance Coverage Requirement Act of 2002 to 11 |
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| 18 | + | provide cost-free coverage of one prostate-specific antigen test and digital rectal exam 12 |
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| 19 | + | per year and prohibit any health insurer from imposing a deductible, coinsurance, 13 |
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| 20 | + | copayment, or other cost-sharing requirement for prostate cancer screening. 14 |
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| 21 | + | 15 |
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| 22 | + | BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this 16 |
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| 23 | + | act may be cited as the “Cost-Free Coverage for Prostate Cancer Screening Amendment Act of 17 |
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| 24 | + | 2024”. 18 |
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| 25 | + | Sec. 2. Section 3 of the Prostate Cancer Screening Insurance Coverage Requirement Act 19 |
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| 26 | + | of 2002, effective March 25, 2003 (D.C. Law 14-233; D.C. Official Code § 31-2952), is 20 |
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| 27 | + | amended as follows: 21 |
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| 28 | + | (a) Subsection (a) is amended by striking the phrase “the latest screening guidelines 22 |
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| 29 | + | issued by the American Cancer Society for the ages, family histories, and frequencies referenced 23 |
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| 30 | + | in such guidelines” and inserting the phrase “the latest screening guidelines issued by 24 |
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| 31 | + | the National Comprehensive Cancer Network, to include no less than one prostate-specific 25 |
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| 32 | + | antigen test and digital rectal exam per year” in its place. 26 |
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| 33 | + | (b) A new subsection (c) is added to read as follows: 27 ENGROSSED ORIGINAL |
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52 | | - | Sec. 4. Effective date. |
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53 | | - | This act shall take effect following approval by the Mayor (or in the event of veto by the |
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54 | | - | Mayor, action by the Council to override the veto) and a 30-day period of congressional review |
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55 | | - | as provided in section 602(c)(1) of the District of Columbia Home Rule Act, approved December |
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56 | | - | 24, 1973 (87 Stat. 813; D.C. Official Code § 1-206.02(c)(1)). |
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57 | | - | |
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58 | | - | |
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59 | | - | |
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60 | | - | ______________________________ |
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61 | | - | Chairman |
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62 | | - | Council of the District of Columbia |
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63 | | - | |
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64 | | - | |
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65 | | - | |
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66 | | - | |
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67 | | - | |
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68 | | - | _________________________________ |
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69 | | - | Mayor |
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70 | | - | District of Columbia |
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71 | | - | |
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72 | | - | |
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73 | | - | |
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| 39 | + | “(c) A health insurer shall not impose on an individual receiving benefits pursuant to this 28 |
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| 40 | + | section any deductible, coinsurance, copayment, or other cost-sharing requirement, except to the 29 |
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| 41 | + | extent that coverage without cost-sharing would disqualify the individual from a high deductible 30 |
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| 42 | + | health benefit plan, as defined in 26 U.S.C. § 233(c)(2)), from eligibility for a health savings 31 |
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| 43 | + | account pursuant to 26 U.S.C. § 223.”. 32 |
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| 44 | + | Sec. 3. Fiscal impact statement. 33 |
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| 45 | + | The Council adopts the fiscal impact statement in the committee report as the fiscal 34 |
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| 46 | + | impact statement required by section 4a of the General Legislative Procedures Act of 1975, 35 |
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| 47 | + | approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a). 36 |
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| 48 | + | Sec. 4. Effective date. 37 |
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| 49 | + | This act shall take effect following approval by the Mayor (or in the event of veto by the 38 |
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| 50 | + | Mayor, action by the Council to override the veto) and a 30-day period of congressional review 39 |
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| 51 | + | as provided in section 602(c)(1) of the District of Columbia Home Rule Act, approved December 40 |
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| 52 | + | 24, 1973 (87 Stat. 813; D.C. Official Code § 1-206.02(c)(1)). 41 |
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