BILL NUMBER: SB 205	ENROLLED
	BILL TEXT

	PASSED THE SENATE   SEPTEMBER 10, 1999
	PASSED THE ASSEMBLY   SEPTEMBER 9, 1999
	AMENDED IN ASSEMBLY   AUGUST 24, 1999
	AMENDED IN ASSEMBLY   JULY 7, 1999
	AMENDED IN ASSEMBLY   JUNE 24, 1999
	AMENDED IN SENATE   MAY 6, 1999
	AMENDED IN SENATE   APRIL 5, 1999

INTRODUCED BY   Senator Perata
   (Coauthor:  Assembly Member Wesson)

                        JANUARY 20, 1999

   An act to add Section 1367.665 to the Health and Safety Code, and
to add Section 10123.20 to the Insurance Code, relating to health
coverage.



	LEGISLATIVE COUNSEL'S DIGEST


   SB 205, Perata.  Health coverage:  cancer screening tests.
   Existing law, the Knox-Keene Health Care Service Plan Act of 1975,
provides for the licensure and regulation of health care service
plans administered by the Commissioner of Corporations.  Under
existing law, willful violation of any of these provisions is
punishable as either a felony or a misdemeanor.  Existing law also
provides for the regulation of policies of disability insurance
administered by the Insurance Commissioner.
   Existing law requires health care service plans and disability
insurers to provide coverage for certain benefits and services.
   This bill would require that every health care service plan
contract, except for a specialized health care service plan, and
disability insurance policies or contracts, with specified
exceptions, that cover hospital, medical, or surgical expenses, that
are issued, amended, delivered, or renewed on or after July 1, 2000,
be deemed to provide coverage for all generally medically accepted
cancer screening tests, subject to all terms and conditions that
would otherwise apply.
   Since a willful violation of the provisions applicable to health
care service plans is a crime, this bill would impose a
state-mandated local program.
  The California Constitution requires the state to reimburse local
agencies and school districts for certain costs mandated by the
state.  Statutory provisions establish procedures for making that
reimbursement.
   This bill would provide that no reimbursement is required by this
act for a specified reason.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:


  SECTION 1.  Section 1367.665 is added to the Health and Safety
Code, to read:
   1367.665.  Every individual or group health care service plan
contract, except for a specialized health care service plan contract,
that is issued, amended, delivered, or renewed on or after July 1,
2000, shall be deemed to provide coverage for all generally medically
accepted cancer screening tests, subject to all terms and conditions
that would otherwise apply.
  SEC. 2.  Section 10123.20 is added to the Insurance Code, to read:

   10123.20.  (a) Every individual or group disability insurance
policy that covers hospital, medical, or surgical expenses that is
issued, amended, delivered, or renewed on or after July 1, 2000,
shall be deemed to provide coverage for all generally medically
accepted cancer screening tests, subject to all other terms and
conditions that would otherwise apply.
   (b) This section shall not apply to vision-only, dental-only,
accident-only, specified disease, hospital indemnity, Medicare
supplement, long-term care, or disability income insurance, except
that for accident-only, specified disease, or hospital indemnity
insurance, coverage for benefits under this section shall apply to
the extent that the benefits are covered under the general terms and
conditions that apply to all other benefits under the policy or
contract.  Nothing in this section shall be construed as imposing a
new benefit mandate on accident-only, specified disease, or hospital
indemnity insurance.
  SEC. 3.  No reimbursement is required by this act pursuant to
Section 6 of Article XIIIB of the California Constitution because the
only costs that may be incurred by a local agency or school district
will be incurred because this act creates a new crime or infraction,
eliminates a crime or infraction, or changes the penalty for a crime
or infraction, within the meaning of Section 17556 of the Government
Code, or changes the definition of a crime within the meaning of
Section 6 of Article XIIIB of the California Constitution.