(a) Except for a fraternal benefit society, a health care insurer that offers, issues for delivery, delivers, or renews in Guam, a health care insurance plan, shall provide coverage for the costs of prostate cancer screening tests as required under the schedule described in Subsection (b) of this Section, and shall provide coverage for the costs of cervical cancer screening tests as required under the schedule described in Subsection (c) of this Section. The coverage required by this Section is subject to standard policy provisions applicable to other benefits, including deductible or copayment provisions.

(b) The minimum coverage required under Subsection (a) of this Section for prostate cancer screening includes an annual prostate cancer screening test, by digital rectal examination, for a person who is forty (40) or more years of age.

(c) The minimum coverage required under Subsection (a)
of this Section for cervical cancer screening is an annual pap
smear cancer screening test for a person who is twenty-one (21)
or more years of age.

(d) The coverage described by this Section shall be effective in the event that the United States Preventive Services Task Force, its recommendations, or the provisions of the Affordable Care Act or its successor acts, should cease to require such coverage.

SOURCE: Added by P.L. 34-002:2 (May 10, 2017).

§ 181002. Coverage Under Health Benefit Plan for
Colorectal Cancer Examinations and Laboratory Tests.

(a) Except for a fraternal benefit society, a health benefit plan issued or renewed on or after January 1, 2018, shall provide coverage for all colorectal cancer examinations and laboratory tests specified in current American Cancer Society guidelines for complete colorectal cancer screening of asymptomatic individuals as follows:

(1) Coverage or benefits shall be provided for all colorectal screening examinations and tests that are administered at a frequency identified in the most recent version of the American Cancer Society guidelines for complete colorectal cancer screening; and

(2) The covered individual shall be:

(A) fifty (50) years of age or older; or

(B) less than fifty (50) years of age and at high risk for colorectal cancer according to the current colorectal cancer screening guidelines of the American Cancer Society.

(b) Coverage under this Section shall not be subject to a deductible or coinsurance for services received from participating providers under the health benefit plan in the event that the United States Preventive Services Task Force recommendations or the provisions of the Affordable Care Act or its successor acts should cease to require such coverage.

SOURCE: Added by P.L. 34-003:2 (May 10, 2017).

22 Guam Code Ann. BUSINESS REGULATIONS
CH. 18 THE CONTRACT OF INSURANCE