Vermont § 4095a - Colorectal cancer screening

§ 4095a. Colorectal cancer screening

• (a) As used in this section, “colonoscopy” means a procedure that enables a health care
  professional to examine visually the inside of a patient’s entire colon and includes
  the concurrent removal of polyps or biopsy, or both. (b) A health insurance plan shall provide coverage for colorectal cancer screening, including: (1) for a covered individual who is not at high risk for colorectal cancer, colorectal
  cancer screening examinations and laboratory tests in accordance with the most recently
  published recommendations established by the U.S. Preventive Services Task Force for
  average-risk individuals; and (2) for a covered individual who is at high risk for colorectal cancer, colorectal cancer
  screening examinations and laboratory tests as recommended by the treating health
  care professional. (c) For the purposes of subdivision (b)(2) of this section, an individual is at high risk
  for colorectal cancer if the individual has: (1) a family medical history of colorectal cancer or a genetic syndrome predisposing the
  individual to colorectal cancer; (2) a prior occurrence of colorectal cancer or precursor polyps; (3) a prior occurrence of a chronic digestive disease condition such as inflammatory bowel
  disease, Crohn’s disease, or ulcerative colitis; or (4) other predisposing factors as determined by the individual’s treating health care
  professional. (d) Colorectal cancer screening services performed under contract with the insurer shall
  not be subject to any co-payment, deductible, coinsurance, or other cost-sharing requirement.
  In addition, a covered individual shall not be subject to any additional charge for
  any service associated with a procedure or test for colorectal cancer screening, which
  may include one or more of the following: (1) removal of tissue or other matter; (2) laboratory services; (3) health care professional services; (4) facility use; and (5) anesthesia. (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)