CHAPTER 277
(HB 1088)
Prostate cancer,
insurance coverage mandated for diagnostic screening.
ENTITLED, An Act to
require the provision of health insurance coverage for diagnostic screening
for prostate cancer.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA:
Section
1.
That chapter 58-17 be amended by adding thereto a NEW SECTION to read as
follows:
Every policy of health insurance that covers a male and that is delivered, issued for delivery, or
renewed in this state, except for policies that provide coverage for specified disease or other limited
benefit coverage, shall provide the following coverage for diagnostic screening for prostate cancer:
(1) An annual medically recognized diagnostic examination, including a digital rectal
examination and a prostate-specific antigen test, as follows:
(a) For asymptomatic men aged fifty and over; and
(b) For men aged forty-five and over at high risk for prostate cancer; and
(2) For males of any age who have a prior history of prostate cancer, medically indicated
diagnostic testing at intervals recommended by a physician, including the digital rectal
examination, prostate-specific antigen test, and bone scan.
Section
2.
That chapter 58-18 be amended by adding thereto a NEW SECTION to read as
follows:
Every group health insurance policy that covers a male and that is delivered, issued for delivery,
or renewed in this state, except for policies that provide coverage for specified disease or other
limited benefit coverage, shall provide the following coverage for diagnostic screening for prostate
cancer:
(1) An annual medically recognized diagnostic examination, including a digital rectal
examination and a prostate-specific antigen test, as follows:
(a) For asymptomatic men aged fifty and over; and
(b) For men aged forty-five and over at high risk for prostate cancer; and
(2) For males of any age who have a prior history of prostate cancer, medically indicated
diagnostic testing at intervals recommended by a physician, including the digital rectal
examination, prostate-specific antigen test, and bone scan.
Section
3.
That chapter 58-18B be amended by adding thereto a NEW SECTION to read as
follows:
Every health benefit plan of a small employer carrier that covers a male and that is delivered,
issued for delivery, or renewed in this state shall provide the following coverage for diagnostic
screening for prostate cancer:
(1) An annual medically recognized diagnostic examination, including a digital rectal
examination and a prostate-specific antigen test, as follows:
(a) For asymptomatic men aged fifty and over; and
(b) For men aged forty-five and over at high risk for prostate cancer; and
(2) For males of any age who have a prior history of prostate cancer, medically indicated
diagnostic testing at intervals recommended by a physician, including the digital rectal
examination, prostate-specific antigen test, and bone scan.
Section
4.
That chapter 58-38 be amended by adding thereto a NEW SECTION to read as
follows:
Every service or indemnity-type contract issued by a nonprofit medical or surgical service plan
corporation that covers a male and that is delivered, issued for delivery, or renewed in this state,
except for policies that provide coverage for specified disease or other limited benefit coverage,
shall provide the following coverage for diagnostic screening for prostate cancer:
(1) An annual medically recognized diagnostic examination, including a digital rectal
examination and a prostate-specific antigen test, as follows:
(a) For asymptomatic men aged fifty and over; and
(b) For men aged forty-five and over at high risk for prostate cancer; and
(2) For males of any age who have a prior history of prostate cancer, medically indicated
diagnostic testing at intervals recommended by a physician, including the digital rectal
examination, prostate-specific antigen test, and bone scan.
Section
5.
That chapter 58-40 be amended by adding thereto a NEW SECTION to read as
follows:
Every service or indemnity-type contract issued by a nonprofit hospital service plan or
organization that covers a male and that is delivered, issued for delivery, or renewed in this state,
except for policies that provide coverage for specified disease or other limited benefit coverage,
shall provide the following coverage for diagnostic screening for prostate cancer:
(1) An annual medically recognized diagnostic examination, including a digital rectal
examination and a prostate-specific antigen test, as follows:
(a) For asymptomatic men aged fifty and over; and
(b) For men aged forty-five and over at high risk for prostate cancer; and
(2) For males of any age who have a prior history of prostate cancer, medically indicated
diagnostic testing at intervals recommended by a physician, including the digital rectal
examination, prostate-specific antigen test, and bone scan.
Section
6.
That chapter 58-41 be amended by adding thereto a NEW SECTION to read as
follows:
Every health maintenance contract that covers a male and that is delivered, issued for delivery,
or renewed in this state, except for policies that provide coverage for specified disease or other
limited benefit coverage, shall provide the following coverage for diagnostic screening for prostate
cancer:
(1) An annual medically recognized diagnostic examination, including a digital rectal
examination and a prostate-specific antigen test, as follows:
(a) For asymptomatic men aged fifty and over; and
(b) For men aged forty-five and over at high risk for prostate cancer; and
(2) For males of any age who have a prior history of prostate cancer, medically indicated
diagnostic testing at intervals recommended by a physician, including the digital rectal
examination, prostate-specific antigen test, and bone scan.
Signed February 9, 2001.