19 | 6 | | relating to general provisions regarding insurance, so as to require major medical coverage2 |
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20 | 7 | | for annual prostate cancer screenings for certain men; to provide for definitions; to provide3 |
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21 | 8 | | for related matters; to provide for an effective date and applicability; to repeal conflicting4 |
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22 | 9 | | laws; and for other purposes.5 |
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23 | 10 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:6 |
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24 | 11 | | SECTION 1.7 |
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25 | 12 | | Article 1 of Chapter 24 of Title 33 of the Official Code of Georgia Annotated, relating to8 |
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26 | 13 | | general provisions regarding insurance, is amended by adding a new Code section to read as9 |
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27 | 14 | | follows:10 |
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30 | 16 | | (a) As used in this Code section, the term:12 |
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31 | 17 | | (1) 'Health benefit policy' means any individual or group plan, policy, or contract for13 |
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32 | 18 | | healthcare services issued, delivered, issued for delivery, or renewed in this state which14 |
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33 | 19 | | provides major medical benefits by a healthcare corporation, health maintenance15 |
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34 | 20 | | organization, preferred provider organization, accident and sickness insurer, fraternal16 |
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35 | 21 | | H. B. 373 (SUB) |
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36 | 22 | | - 1 - 25 LC 46 1095S |
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37 | 23 | | benefit society, hospital service corporation, medical service corporation, or other insurer17 |
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38 | 24 | | or similar entity.18 |
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39 | 25 | | (2) 'Men with a family history of prostate cancer' means men who have a first-degree19 |
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40 | 26 | | relative:20 |
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41 | 27 | | (A) Who has been diagnosed with prostate cancer;21 |
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42 | 28 | | (B) Who developed prostate cancer;22 |
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43 | 29 | | (C) Whose death was a result of prostate cancer;23 |
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44 | 30 | | (D) Who has been diagnosed with a cancer known to be associated with an increased24 |
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45 | 31 | | risk of prostate cancer; or25 |
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46 | 32 | | (E) Who has a genetic alteration known to be associated with an increased risk of26 |
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47 | 33 | | prostate cancer.27 |
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48 | 34 | | (3) 'Men with a high risk for prostate cancer' means:28 |
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49 | 35 | | (A) Men with a family history of prostate cancer who are 40 to 49 years of age;29 |
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50 | 36 | | (B) Men who are 50 years of age and older; and30 |
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51 | 37 | | (C) Other men, as may be determined by a physician.31 |
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52 | 38 | | (b) A health benefit policy shall provide coverage for annual prostate cancer screenings32 |
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53 | 39 | | for men with a high risk for prostate cancer. Such coverage shall include a digital rectal33 |
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54 | 40 | | examination and a prostate-specific antigen test."34 |
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55 | 41 | | SECTION 2.35 |
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56 | 42 | | This Act shall become effective upon its approval by the Governor or upon its becoming law36 |
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57 | 43 | | without such approval and shall apply to all applicable insurance policies issued, delivered,37 |
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58 | 44 | | issued for delivery, or renewed on or after January 1, 2026.38 |
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59 | 45 | | SECTION 3.39 |
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60 | 46 | | All laws and parts of laws in conflict with this Act are repealed.40 |
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61 | 47 | | H. B. 373 (SUB) |
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62 | 48 | | - 2 - |
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