States that Mandate Colorectal Screening Coverage & Health Department of Health

Recommendation, if no State Law - Updated December 2017

Link to
State Policies Covered Consumers Covered Services Covered
State Legislature
Colorectal cancer examinations for covered persons who are
Alabama CRC Screening Law:
All health benefit plans on or after August 1, 2004. 50 years of age or older, or for persons who are less than American Cancer Society (ACS) colorectal screening guidelines.
AL S 403 State of Alabama
50 years of age and at high risk for colorectal cancer.

1. FOBT annually.
2. Flexible sigmoidoscopy every 5 years.
Persons at least 50 years of age, or less than 50 years of
3. Colonoscopy every 10 years.
Alaska CRC Screening Law: All health insurance plans EXCEPT for a fraternal age and at high risk for colorectal cancer. Choice of option
4. Double contrast Barium Enema.
21.42.395 State of Alaska benefit society. determined by the covered individual in consultation with
5. Any additional medically recognized screening tests
the health care provider.
for colorectal cancer as required by the commissioner
of health and social services.

Arizona Arizona Health

No state mandate - providing state department AZ State Health Department initiative encouraging
Health Department Department
of health recommenation. residents to get screening with FOBT and colonoscopy.
Recommendation recommendation

1. FOBT annually.
All healthcare policies including indemnity and
2. Flexible sigmoidoscopy every 5 years.
managed care plans. Includes policies issued
Colorectal cancer examinations for covered persons who 3. Colonoscopy every 10 years.
Arkansas CRC Screening Law: by fraternal benefit societies, Arkansas Medicaid,
are 50 years of age or older, or for persons who are less 4. Double contrast Barium Enema.
HB 271, Act 2236 State of Arkansas State employees and public school teachers
than 50 years of age and at high risk for colorectal cancer. 5. Any additional medically recognized screening tests
health insurance programs. Impacts all plans
for colorectal cancer as required by the commissioner
on or after August 1, 2005.
of health and social services.

California CRC Screening Law:

All individual and group plans. All covered individuals.
Mandate covers ALL medically accepted cancer screening
AB 1763 State of California tests as recommended by USPSTF.

In addition to covered persons eligible for colorectal cancer screening

coverage in accordance with A or B recommendations of the task force,
colorectal cancer screening coverage required by this subparagraph (V)
Policies and contracts that are delivered, issued,
shall also be provided to covered persons who are at high risk for
Colorado CRC Screening Law: renewed, or reinstated on or after January 1, 2010,
colorectal cancer, including covered persons who have a family medical
USPSTF (United State Preventative Service Task Force)
Title 10 § 10-16-04 State of Colorado must provide coverage for the total cost of the
history of colorectal cancer;  a prior occurrence of cancer or precursor
CRC recommendation -issued June 2016.
preventive health care services specified.
neoplastic polyps;  a prior occurrence of a chronic digestive disease
condition such as inflammatory bowel disease, Crohn's disease, or ulcer-
ative colitis;  or other predisposing factors as determined by the provider.

1. FOBT annually, Flexible sigmodoscopy, Colonoscopy or

Connecticut CRC Screening Law:
All health benefit plans on or after October 1, 2001.
Coverage for colorectal cancer screening based on ACS radiologic imaging, in accordance with the recommendations
Public Act No. 01-171 State of Connecticut (American Cancer Society) guidelines for age, family history. establiched by the American College of Gastroenterology,
after consultation with the American Cancer Society.
States that Mandate Colorectal Screening Coverage & Health Department of Health Recommendation, if no State Law
Updated April 2017

Link to
State Policies Covered Consumers Covered Services Covered
State Legislature
Delaware Colorectal cancer examinations for covered persons who are
CRC Screening Law: Added Virtual Colonoscopy for colorectal cancer screening
Title 18 Chap 32 State of Delaware
All health policies. 50 years of age or older, or for persons who are less than
on December 1, 2009.
Sub ChapIII §3562 50 years of age and at high risk for colorectal cancer.

District of Columbia CRC Screening Law:

Every individual and group health benefits plan. In accordance with guidelines of American Cancer Society. In accordance with guidelines of American Cancer Society.
31-2931 District of Columbia

The Colorectal Cancer Control Program’s purpose is to

Florida increase colorectal cancer (CRC) screening rates among
Florida CRC
No state mandate - providing state department a defined target population of persons 50-75 years of age
Health Department Health Department
of health recommenation. by implementing evidence-based interventions and other
Recommendation Recommendation
strategies in partnership with health systems to institute
organized screening programs.

Every benefit plan shall provide coverage for colorectal

screening in accordance with most recently published
Georgia CRC Screening Law:
All health plans on or after July 1, 2002. Refer to guidelines for recommended ages and family history. guidelines and recommendations established by the
33-24-56.3 State of Georgia
American Cancer Society, in consultation with the
American College of Radiology.

In accordance with the evidence-based recommendations

Hawaii CRC Screening Law:
All individual and group plans. Individuals age 50-75. established by the United States Preventive Services Task
SB 2599 State of Hawaii
Force (USPSTF) for CRC Screening issued June 2016.

Idaho Idaho CRC

No state mandate - providing state department United States Preventive Services Task Force (USPSTF)
Health Department Health Department
of health recommenation.
Comprehensive Cancer Control of Idaho.
recommendation for CRC Screening issued June 2016
Recommendation Recommendation

Every benefit plan shall provide coverage for colorectal

screening in accordance with most recently published
Illinois CRC Screening Law:
All health care policies. Refer to guidelines for recommended ages and family history. guidelines and recommendations established by the
SB 1417 State of Illinois
American Cancer Society, in consultation with the
American College of Radiology.

Colorectal cancer examinations for covered persons who are

Indiana CRC Screening Law: All healthcare plans including self-insurance
50 years of age or older, or for persons who are less than American Cancer Society colorectal screening guidelines.
HB 1293 State of Indiana programs for state employees.
50 years of age and at high risk for colorectal cancer.

Iowa CRC
Iowa Health Department
No state mandate - providing state department
Iowa Get Screened. Describes programs and directs residents to screening centers.
Department of Health Recommendation
of health recommenation.

Kansas CRC
Kansas Heath Department
No state mandate - providing state department
Kansas Health Matters - Archived data. FOBT testing by mail available.
Health Department Recommendation
of health recommenation.
States that Mandate Colorectal Screening Coverage & Health Department of Health Recommendation, if no State Law
Updated April 2017

Link to
State Policies Covered Consumers Covered Services Covered
State Legislature

Colorectal cancer examinations for covered persons who are

Kentucky CRC Screening Law:
All health hare plans on or after January 1, 2009. 50 years of age or older, or for persons who are less than American Cancer Society colorectal screening guidelines.
KRS §304.17A-257 State of Kentucky
50 years of age and at high risk for colorectal cancer.

FOBT, Flexible Sigmoisoscopy, Colonoscopy, in accordance

Louisiana CRC Screening Law:
All health care plans on or after January 1, 2006. Refer to guidelines for recommended ages and family history.
with the most recent published recommendations established
HB 36 Act 505 State of Louisiana by the Americal College of Gastroenterologists, in consultation
with the American Cancer Society.

Individuals 50 years and older; or less than 50 and high Screening tests as recommended by healthcare
Maine CRC Screening Law:
Group and individual insurers. risk for colorectal cancer based on American Cancer provider in accordance with the most recently
24-A M.R.S. § 2763 State of Maine
Society (ACS) guidelines. published guidelines of American cancer society.

Maryland CRC Screening Law:

All healthcare plans. Refer to guidelines for recommended ages and family history.
DNA Stool test and CT Colonography added to screening
HB 190/SB 100 State of Maryland menu effective September 15, 2008.

Men and women who are 50 or older; If you have a personal

Massachusetts fecal occult blood test (FOBT) or fecal immunochemical
Massachusetts CRC or family history of polyps or colon cancer, you may need to
No state mandate - providing state department test (FIT) and refer to USPSTF (United State Preventative
Health Department Health Department
of health recommenation.
start getting screened earlier; African Americans have a greater
Services Task Force) CRC screening recommendation
Recommendation Recommendation risk for colon cancer. If you’re African American, it is especially
and American Collegue of Physicians.
important to be screened.

Michigan Michigan CRC Men and women: Aged 50-64 years, Low income Colonoscopy for Average and Increased-risk clients;
No state mandate - providing state department
Health Department Health Department
of health recommenation.
(<= 250% of the Federal Poverty Level), Who have Fecal Immunochemical Test (FIT), optional for
Recommendation Recommendation no symptoms, Who are underinsured or uninsured. Average-risk clients.

Minnesota CRC Screening Law:

All individual and group plans.  Individuals defined by the standard practice of medicine. In accordance to standard practices of medicine.
62A.30 State of Minnesota

Mississippi Mississippi CRC

Identifies screening tests: FOBT, colonoscopy and
Health Department Health Department No state mandate found. Recommend residents over 50 be screened
virtual coloniscopy.
Recommendation Recommendation

Screening tests as recommended by healthcare provider

Missouri CRC Screening Law:
All healthcare plans on or after August 28, 1999. Refer to guidelines for recommended ages and family history in accordance with the most recently published guidelines
376.1250 State of Missouri
of national cancer society.
States that Mandate Colorectal Screening Coverage & Health Department of Health Recommendation, if no State Law
Updated April 2017

Link to
State Policies Covered Consumers Covered Services Covered
State Legislature

Montana CRC Screening Law:

All individual and group plans. Individuals 50 and ulder, thise less than 50 at risk for colon cancer Amercian Cancer Society (ACS) recommendations.
HB 0325 State of Montana

Such screening coverage shall include a maximum of

one screening fecal occult blood test annually and a
Nebraska CRC Screening Law:
All individual and group plans. Individuals over 50
flexible sigmoidoscopy every five years, a colonoscopy
44-7, 102 State of Nebraska every ten years, or a barium enema every five to ten
years, or any combination, or the most reliable, medically
recognized screening test available.

Screening tests as recommended by healthcare provider in

Nevada CRC Screening Law:
All healthcare plans on or after October 1, 2003. Refer to guidelines for recommended ages and family history accordance with the most recently published guidelines of
NRS 695G.168 State of Nevada
national cancer society.

New Hampshire NHCRCSP is working with healthcare systems,

New Hampshire
No state mandate - providing state department employers, healthcare plans, media and community
Health Department CRC Health Department
of health recommenation.
Recommend residents over 50 be screened.
organizations to implement proven evidence based
Recommendation Recommendation
initiatives to impact colorectal cancer in NH.

1. FOBT annually.
2. Flexible sigmoidoscopy every 5 years.
All plans including individual, employer based Colorectal cancer examinations for covered persons who are 3. Colonoscopy every 10 years.
New Jersey CRC Screening Law:
and small business healthcare plans. Includes 50 years of age or older, or for persons who are less than 4. Double contrast Barium Enema.
17B:26-2.1u State of New Jersey
all HMO/PPOs. 50 years of age and at high risk for colorectal cancer. 5. Any additional medically recognized screening
tests for colorectal cancer as required by the
commissioner of health and social services.

In accordance with the evidence-based

New Mexico CRC Screening Law:
All individual and group plans.  For anyone determined by health care provider. recommendations established by the
59A 22.47 State of New Mexico
United States preventive services task force.

New York New York

Identifies the following screening teste: FOBT,
Health Department CRC Health Department No state mandate found. Individuals 50 and ulder, thise less than 50 at risk for colon cancer.
Sigmoidoscopy, Colonoscopy.
Recommendation Recommendation

Colorectal cancer examinations for covered persons who are Screening tests as recommended by healthcare
North Carolina CRC Screening Law:
All healthcare plans. 50 years of age or older, or for persons who are less than provider in accordance with the most recently
§ 58-3-179 State of North Carolina
50 years of age and at high risk for colorectal cancer. published guidelines of national cancer society.

North Dakota North Dakota

Health Department CRC Health Department No state mandate found. ND Colorectal Cancer Rountable. Fact sheet with risks and screening recommendations.
Recommendation Recommendation
States that Mandate Colorectal Screening Coverage & Health Department of Health Recommendation, if no State Law
Updated April 2017

Link to
State Policies Covered Consumers Covered Services Covered
State Legislature
Colorectal cancer examinations for covered persons who are
Ohio CRC Screening Law:
All healthcare plans. 50 years of age or older, or for persons who are less than Amercican Cancer Society (ACS) recommendations.
HB 556 State of Ohio
50 years of age and at high risk for colorectal cancer.

Plans required to offer coverage for colorectal

Oklahoma CRC Screening Law:
All individual and group plans.
Individuals defined by the American Cancer Societe (ACS)
examinations and laboratory tests in accordance
§36-6060.8a State of Oklahoma as average and high risk.
with accepted published medical practice guidelines.

HMOs and all individual and group plans,

Oregon CRC Screening Law:
that cover medical, surgical and hospital
Individuals age 50 and over and high risk as recommended In accordance with American Cancer Society (ACS)
ORS 742A.124 State of Oregon
costs, after Jan. 1, 2006.
by a physician. screening recommendations.

All health insurance policies group health, A colonoscopy or any combination of colorectal
Pennsylvania CRC Screening Law: sickness or accident policy or subscriber Nonsymptomatic covered individuals who are cancer screening tests in accordance with the
40 P.S. § 764i State of Pensylvania contract or certificate offered to groups of fifty (50) years of age or older. American Cancer Society guidelines on screening
fifty-one (51) or more employees. for colorectal cancer published as of January 1, 2008.

Screening tests as recommended by healthcare provider

Rhode Island CRC Screening Law:
All healthcare plans. Refer to guidelines for recommended ages and family history. in accordance with the most recently published guidelines
§27-18-58 State of Rhode Island
of national cancer society.

South Carolina South Carolina Screening should start at age 50 and continue until age American Cancer Society (ACS) and United States
No state mandate - providing state department
Health Department CRC Health Department
of health recommenation.
75 for most men and women. Routine screening between Preventative Services Task Force ( USPSTF)
Recommendation Recommendation ages 76-85 is not recommended. recommendations.

South Dakota South Dakota

No state mandate - providing state department
Health Department CRC Health Department
of health recommenation.
Get Screened Initiative. Fact sheet with risks and screening recommendations.
Recommendation Recommendation

Screening tests as recommended by healthcare provider

Tennessee CRC Screening Law:
All healthcare plans on or after January 1, 2004. Refer to guidelines for recommended ages and family history. in accordance with the most recently published guidelines
§57-7-2363 Sate of Tennessee
of national cancer society.

Texas CRC Screening Law:

All healthcare plans. Refer to guidelines for recommended ages and family history.
DNA Stool test and CT Colonography added to screening
§1363.001 State of Texas menu effective January 30, 2009.

Screening Tests and Procedures: colonoscopy every ten years,

biopsy/polypectomy during colonoscopy, moderate sedation
Utah CRC Screening Law:
All healthcare plans. Not stated.
for colonoscopy, the use of propofol only if prior approval is
R384-200 (d) State of Utah obtained, and office visits related to the tests listed above.
The program does not pay for CT Colonography, or virtual
colonoscopy, as a primary screening test.
States that Mandate Colorectal Screening Coverage & Health Department of Health Recommendation, if no State Law
Updated April 2017

Link to
State Policies Covered Consumers Covered Services Covered
State Legislature

Vermont
CRC Screening Law: Annual fecal occult blood testing with a flexible sigmoidoscopy
Title 08 Chapter 107, State of Vermont
All individual and group plans. Persons 50 years or older or otherwise determined as high risk.
every five years or a colonoscopy every 10 years.
Subchapter 10 §4100g

FOBT, Flexible Sigmoisoscopy, Colonoscopy, in accordance

Virginia CRC Screeing Law:
All healthcare plans on or after July 1, 2000. Refer to guidelines for recommended ages and family history.
with the most recent published recommendations established
§38.2-3418.7:1 State of Virginia by the Americal College of Gastroenterologists, in consultation
with the American Cancer Society.

Examinations and laboratory tests consistent with

Washington CRC Screening Law:
All individual and group plans. Individuals at high risk under 50 years old or anyone over 50 years old.
the guidelines or recommendations of the United States
48-43.043 State of Washington preventive services task force or the federal centers for
disease control and prevention (CDC).

Persons age 50 and over; Symptomatic persons less than Annual fecal occult blood test, flexible sigmoidoscopy
West Virginia CRC Screening Law:
All individual and group plans. 50 years of age when reimbursement or indemnity for every 5 years, colonoscopy every 10 years and a
§33-25A-8e State of West Virginia
laboratory or X-ray services are covered under the policy. double contrast barium enema every 5 years.

Colorectal cancer examinations for covered persons who are Screening tests as recommended by healthcare provider
Wisconsin CRC Screening Law: All healthcare plans, including state,
50 years of age or older, or for persons who are less than in accordance with the most recently published guidelines
SB 163 State of Wisconsin county and city employee plans.
50 years of age and at high risk for colorectal cancer. of national cancer society.

Wyoming CRC Screening Law:

HMOs and all group plans. Nonsymptomatic individuals. Colorectal cancer examination and laboratory tests.
HB0026 State of Wyoming