D.C. Act 25-591. Cost-Free Coverage for Prostate Cancer Screening Amendment Act of 2024.
AN ACT
To amend the Prostate Cancer Screening Insurance Coverage Requirement Act of 2002 to provide cost-free coverage of one prostate-specific antigen test and digital rectal exam per year and prohibit any health insurer from imposing a deductible, coinsurance, copayment, or other cost-sharing requirement for prostate cancer screening.
BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this act may be cited as the "Cost-Free Coverage for Prostate Cancer Screening Amendment Act of 2024".
Sec. 2. Section 3 of the Prostate Cancer Screening Insurance Coverage Requirement Act of 2002, effective March 25, 2003 (D.C. Law 14-233; D.C. Official Code § 31-2952), is amended as follows:
(a) Subsection (a) is amended by striking the phrase "the latest screening guidelines issued by the American Cancer Society for the ages, family histories, and frequencies referenced in such guidelines" and inserting the phrase "the latest screening guidelines issued by the National Comprehensive Cancer Network, to include no less than one prostate-specific antigen test and digital rectal exam per year" in its place.
(b) A new subsection (c) is added to read as follows:
"(c) A health insurer shall not impose on an individual receiving benefits pursuant to this section any deductible, coinsurance, copayment, or other cost-sharing requirement, except to the extent that coverage without cost-sharing would disqualify the individual from a high deductible health benefit plan, as defined in 26 U.S.C. § 223(c)(2)), from eligibility for a health savings account pursuant to 26 U.S.C. § 223.".
Sec. 3. Fiscal impact statement.
The Council adopts the fiscal impact statement in the committee report as the fiscal impact statement required by section 4a of the General Legislative Procedures Act of 1975, approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a).
Sec. 4. Effective date.
This act shall take effect following approval by the Mayor (or in the event of veto by the Mayor, action by the Council to override the veto) and a 30-day period of congressional review as provided in section 602(c)(1) of the District of Columbia Home Rule Act, approved December 24, 1973 (87 Stat. 813; D.C. Official Code § 1-206.02(c)(1)).
