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REFERENCE TITLE: cancer screening examinations; reporting requirements |
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State of Arizona Senate Fiftieth Legislature First Regular Session 2011
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SB 1066 |
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Introduced by Senator Schapira
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AN ACT
amending title 20, chapter 1, article 2, Arizona Revised Statutes, by adding section 20-174; amending title 20, chapter 4, article 3, Arizona Revised Statutes, by adding section 20-826.05; amending title 20, chapter 4, article 9, Arizona Revised Statutes, by adding section 20-1057.13; amending title 20, chapter 6, article 4, Arizona Revised Statutes, by adding section 20-1342.07; amending title 20, chapter 6, article 5, Arizona Revised Statutes, by adding sections 20-1402.05 and 20-1404.05; providing for the delayed repeal of sections 20-174, 20-826.05, 20-1057.13, 20-1342.07, 20-1402.05 and 20‑1404.05, Arizona Revised Statutes; relating to insurer cancer screening examination reports.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Title 20, chapter 1, article 2, Arizona Revised Statutes, is amended by adding section 20-174, to read:
20-174. Cancer screening report
A. The department shall aggregate the information obtained pursuant to sections 20-826.05, 20-1057.13, 20-1342.07, 20-1402.05 and 20-1404.05 into a report. The department shall prescribe the format of the electronic report that the insurers prescribed in sections 20-826.05, 20-1057.13, 20-1342.07, 20-1402.05 and 20‑1404.05 must submit.
B. On or before January 31 of each year, the department shall submit the report to the governor, the president of the senate, the speaker of the house of representatives and the chairpersons of the senate banking and insurance committee and the house of representatives banking and insurance committee, or their successor committees. The department shall provide a copy of this report to the secretary of state.
C. The department may submit the report in an electronic format.
Sec. 2. Title 20, chapter 4, article 3, Arizona Revised Statutes, is amended by adding section 20-826.05, to read:
20-826.05. Hospital or medical service corporations; cancer screening examinations; reporting requirements
A. Between January 1 and January 15 of each year, a hospital service corporation or medical service corporation shall submit an electronic report to the director that contains the following information regarding cancer screening examinations that are described in subsection B:
1. The total number of individuals who are covered by contracts entered into during the previous calendar year.
2. The total number of covered individuals whose contracts provided coverage for each of the cancer screening examinations during the previous calendar year that are described in subsection B.
3. The number of persons who applied for coverage that includes cancer screening examination benefits.
4. For persons or providers who submitted claims for cancer screening examination benefits, whether those claims were paid or denied.
5. For those cancer screening examination claims for benefits that were denied, the reasons that were given for the denials.
B. The electronic report prescribed in subsection A shall include information regarding coverage for the following cancer screening examinations, including the types of screenings used for each examination, the age when coverage begins and the frequency of examinations that are covered:
1. Colon and rectal cancer screening.
2. Cervical cancer screening.
3. Breast cancer screening.
4. Prostate cancer screening.
Sec. 3. Title 20, chapter 4, article 9, Arizona Revised Statutes, is amended by adding section 20-1057.13, to read:
20-1057.13. Health care services organizations; cancer screening examinations; reporting requirements
A. Between January 1 and January 15 of each year, a health care services organization shall submit an electronic report to the director that contains the following information regarding cancer screening examinations that are described in subsection B:
1. The total number of individuals who are covered by evidences of coverage entered into during the previous calendar year.
2. The total number of covered individuals whose evidence of coverage provided coverage for each of the cancer screening examinations during the previous calendar year that are described in subsection B.
3. The number of persons who applied for coverage that includes cancer screening examination benefits.
4. For persons or providers who submitted claims for cancer screening examination benefits, whether those claims were paid or denied.
5. For those cancer screening examination claims for benefits that were denied, the reasons that were given for the denials.
B. The electronic report prescribed in subsection A shall include information regarding coverage for the following cancer screening examinations, including the types of screenings used for each examination, the age when coverage begins and the frequency of examinations that are covered:
1. Colon and rectal cancer screening.
2. Cervical cancer screening.
3. Breast cancer screening.
4. Prostate cancer screening.
Sec. 4. Title 20, chapter 6, article 4, Arizona Revised Statutes, is amended by adding section 20-1342.07, to read:
20-1342.07. Disability insurers; cancer screening examinations; reporting requirements
A. Between January 1 and January 15 of each year, a disability insurer shall submit an electronic report to the director that contains the following information regarding cancer screening examinations that are described in subsection b:
1. The total number of individuals covered by policies entered into during the previous calendar year.
2. The total number of covered individuals whose policies provided coverage for each of the cancer screening examinations during the previous calendar year that are described in subsection B.
3. The number of persons who applied for coverage that includes cancer screening examination benefits.
4. For persons or providers who submitted claims for cancer screening examination benefits, whether those claims were paid or denied.
5. For those cancer screening examination claims that were denied, the reasons that were given for the denials.
B. The electronic report prescribed in subsection A shall include information regarding coverage for the following cancer screening examinations, including the types of screenings used for each examination, the age when coverage begins and the frequency of examinations that are covered:
1. Colon and rectal cancer screening.
2. Cervical cancer screening.
3. Breast cancer screening.
4. Prostate cancer screening.
Sec. 5. Title 20, chapter 6, article 5, Arizona Revised Statutes, is amended by adding sections 20-1402.05 and 20-1404.05, to read:
20-1402.05. Group disability insurers; cancer screening examinations; reporting requirements
A. Between January 1 and January 15 of each year, a group disability insurer shall submit an electronic report to the director that contains the following information regarding cancer screening examinations that are described in subsection B:
1. The total number of individuals who are covered by policies entered into during the previous calendar year.
2. The total number of covered individuals whose policies provided coverage for each of the cancer screening examinations during the previous calendar year that are described in subsection B.
3. The number of persons who applied for coverage that includes cancer screening examination benefits.
4. For persons or providers who submitted claims for cancer screening examination benefits, whether those claims were paid or denied.
5. For those cancer screening examination claims that were denied, the reasons that were given for the denials.
B. The electronic report prescribed in subsection a shall include information regarding coverage for the following cancer screening examinations, including the types of screenings used for each examination, the age when coverage begins and the frequency of examinations that are covered:
1. Colon and rectal cancer screening.
2. Cervical cancer screening.
3. Breast cancer screening.
4. Prostate cancer screening.
20-1404.05. Blanket disability insurers; cancer screening examinations; reporting requirements
A. Between January 1 and January 15 of each year, a blanket disability insurer shall submit an electronic report to the director that contains the following information regarding cancer screening examinations that are described in subsection B:
1. The total number of individuals who are covered by policies entered into during the previous calendar year.
2. The total number of covered individuals whose policies provided coverage for each of the cancer screening examinations during the previous calendar year that are described in subsection B.
3. The number of persons who applied for coverage that includes cancer screening examination benefits.
4. For persons or providers who submitted claims for cancer screening examination benefits, whether those claims were paid or denied.
5. For those cancer screening examination claims that were denied, the reasons that were given for the denials.
B. The electronic report prescribed in subsection a shall include information regarding coverage for the following cancer screening examinations, including the types of screenings used for each examination, the age when coverage begins and the frequency of examinations that are covered:
1. Colon and rectal cancer screening.
2. Cervical cancer screening.
3. Breast cancer screening.
4. Prostate cancer screening.
Sec. 6. Delayed repeal
Sections 20-174, 20-826.05, 20-1057.13, 20-1342.07, 20-1402.05 and 20‑1404.05, Arizona Revised Statutes, as added by this act, are repealed from and after December 31, 2014.