§ 35-25-204 — Wyoming colorectal cancer early detection and prevention program

Wyoming § 35-25-204

• Jurisdiction: Wyoming
• Title 35: Public Health and Safety
• Ch. 25: PUBLIC PROGRAMS
• Art. 2: WYOMING CANCER CONTROL ACT

Text

(a) Subject to the availability of appropriations, the
department shall undertake a colorectal cancer screening and
prevention program for those who qualify as specified in
subsection (c) of this section.
(b) Initially the screening and prevention program funded
under this program shall consist of colonoscopies which shall
consist of both the examination of the colon and rectum and the
removal and pathological examination of polyps in accordance
with the normal standards of care for colonoscopies. After July
1, 2008, the department may, by rule and regulation, authorize
other forms of screening to participate in the program provided
these other forms of screening are evidence based and are shown
by the evidence to be as effective or as cost effective as
traditional colonoscopies.
(c) Starting July 1, 2007 Wyoming residents with incomes
at or below two hundred and fifty percent (250%) of the federal
poverty level shall be eligible to participate in this program
and this shall remain the standard if the biennial budget bill
does not establish a different standard and unless a different
standard is established pursuant to subsection (d) of this
section.
(d) Eligibility for the program set forth in this section
shall be limited to individuals who are Wyoming residents and
have been so for at least one (1) year immediately prior to
screening. The eligibility shall be for one (1) colonoscopy
every ten (10) years, counting any done before the effective
date of this act or before the individual became a Wyoming
resident. However, the department on a case-by-case basis may
authorize follow-up screening when medically indicated based on
national evidence based guidelines. Eligibility shall be
restricted to individuals who meet appropriate age requirements
in accordance with national evidence based recommendations and
are uninsured or underinsured. For persons who are underinsured,
the program shall only pay expenses not covered by insurance. In
the event that analysis shows spending in the program will
exceed the budget available, the department shall institute a
waiting list.
(e) The department shall provide reimbursement for an
eligible person's colonoscopy at the rate paid under the Wyoming
Medical Assistance and Services Act for colonoscopies, including
polyp removal. The person receiving services under this
subsection shall pay all other costs of the colonoscopy. When
the funds appropriated for this program are expended, the
department shall cease payments under this section.
(f) The department shall develop an internet based
application process for determining individual eligibility. The
result of a successful application may be a voucher that the
individual may present to a provider the department has
contracted with or may be an online statement of eligibility
that the providers can access or both. The department may use
city or county health departments, other public health offices,
providers, advocacy groups and any other appropriate
governmental or private entities to assist individuals in
completing the application process.