Repeals GS 58-65-92 (hospital or medical service plans required to cover mammograms and cervical cancer screening). Repeals GS 58-67-76 (health care maintenance organization health care plans required to cover mammograms and cervical cancer screening).
Recodifies GS 58-51-57 as GS 58-3-271. Amends GS 58-3-271 (health benefit plan coverage for screening and diagnostic examinations for breast and cervical cancer) to do the following:
(1) Defines “cost sharing requirements” and updates definitions for various diagnostic techniques for cervical and breast cancer;
(2) Makes required coverage of examinations and lab tests for screening for early detection of cervical cancer and low-dose screening mammography with the same deductible, coinsurance, and other limitations as similar covered services applicable to all health benefit plans in the State; and
(3) Requires that health benefit plans in the State which cover diagnostic examinations for breast cancer ensure that the cost sharing requirements for breast cancer diagnostic exams are not less favorable than the cost sharing requirements applicable to breast cancer screening examinations. Make additional conforming and technical changes.
Effective October 1, 2021, and applies to insurance contracts entered into, renewed, or amended on or after that date.