Health care coverage: colorectal cancer screening.
What changed between versions
Entirely new sections (Sections 1 and 2) were added to amend Section 1367.668 of the Health and Safety Code and Section 10123.207 of the Insurance Code, requiring health care service plans and health insurance policies to cover colorectal cancer screening without cost sharing. This transforms the bill from a forestry-only measure into a combined forestry and health care coverage bill.
The acreage threshold for noncommercial wildfire fuels reduction projects eligible for the simplified CEQA compliance pathway was increased from less than 1,000 acres to less than 1,500 acres, allowing larger projects to use the streamlined timber harvesting plan process.
The criteria for which colorectal cancer screening tests must be covered without cost sharing were expanded. Previously only tests assigned a grade of A or B by the USPSTF qualified. Now any test meeting one of three conditions qualifies: (1) FDA-approved and meets CMS National Coverage Determination 210.3, (2) FDA-approved and included in the latest American Cancer Society guidelines, or (3) USPSTF grade A or B.
New subdivision (c) added to both the Health and Safety Code and Insurance Code provisions clarifying that plans and insurers with out-of-network benefits may still impose cost-sharing for screening services delivered by out-of-network providers.
A new no-reimbursement clause (Section 3) was added for the health care provisions, stating that no state reimbursement is required under Article XIII B of the California Constitution because the only costs incurred by local agencies relate to changes in crime definitions or penalties.
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