SB 514 — Creating Lung Cancer Prevention and Education Act

CS for SB 514 WEST VIRGINIA LEGISLATURE REGULAR SESSION IntroducedCommittee Substitute for Senate Bill 514 By Senators Takubo,Takubo Woelfel,and Deeds,Woelfel Maroney,[Originating andin Hamiltonthe IntroducedCommittee Januaryon 23,Health 2024;and Human Resources;

referredreported February 7, 2024] CS for SB 514 A BILL to amend the CommitteeCode onof HealthWest Virginia, 1931, as amended, by adding thereto a new article, designated §16-67-1, §16-67-2, §16-67-3, §16-67-4, §16-67-5, §16-67-6, §16-67-7, §16- 67-8, §16-67-9, §16-67-10, and Human§16-67-11, Resources;all relating to lung cancer prevention and education;

and then to the Committee on Financ] Intr SB 2024R3295 A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new article, designated §16-67-1, §16-67-2, §16-67-3, §16-67-4, §16-67-5, §16-67-6, §16-67-7, §16- 67-8, §16-67-9, §16-67-10, and §16-67-11, all relating to lung cancer prevention and education;

providing for annual rate adjustment;

"Provider" means a physician, hospital, or medical provider currently licensedlicensed, operatingoperating, or practicing in this state.

Intr SB 2024R3295 "Qualified applicant" means a person who meets the financial and medical eligibility 1 CS for SB 514 guidelines in this article.

"Unserved populations" means persons having inadequate access and financial resources to obtain lung cancer screening services as set forth in the financial eligibility section of this article.

These services shall include but Intr SB 2024R3295 not be limited to:

2 CS for SB 514 (1) Promotion and provision of early detection of lung cancer, including the importance of early detection;

In order to be considered for a grant to provide screeningsscreenings, an applicant shall be able to perform low-dose computed tomography scans in compliance with the American College of Radiology.

This is the only screening service available through this program and additionally and an applicant must additionally show evidence of the following:

(D) Ability to provide a lung cancer detection and education services to unserved populations;

and (E) Ability to provide a lung cancer detection and education services in accordance with national organization standards of high quality, as described in this section.

Intr SB 2024R3295 (3) In order to be considered for a grant to provide education, an applicant shall show 3 CS for SB 514 evidence of the following:

Intr SB 2024R3295 (c) The fund shall be administered by the Bureau for Public Health.

4 CS for SB 514 (d) Nothing in this article may be construed or interpreted to mean that diagnostic and treatment are required to be provided by the bureau or the department.

In addition to meeting the requirements contained in the financial eligibility section of this article, in order to be eligible for services under the fund, a patient shall meet the screening guidelines set forth by the United State Preventative Services Taskforce for lung cancer, including but not limited to that adults age 50 to 80 years who have a 20 packpack-year year smoking history and currently smoke or have quit within the past 15 years should have an annual low-dose computed tomography screening.

A pack-year is smoking an average of one pack of cigarettes per day for one year.

A person would have a 20 pack-year history by smoking one pack a day for 20 years or two packs a day for 10 years.

5 CS for SB 514 §16-67-10.

Payment for proceduresthe facility and professional components of the diagnostic service shall be made at $150.00the provider's current Medicare reimbursement rate per low dose computed tomography scan.scan and its interpretation.

This rate can be increased yearly based upon medical inflation.

The campaign shall include print media, social media, and include targeted advertisements to groups at high risk for lung cancer and in need toof screening.

NOTE:

The purpose of this bill is to create the lung cancer prevention and education act.

It covers lung cancers screenings via a low-dose computed tomography based upon financial eligibility and medical eligibility set forth in the bill.

The bill creates a grant process, requires annual reporting from the Department of Health, and sets a rate for the CT screening.

The bill requires the Department of Health to engage in a statewide education campaign.

Strike-throughs indicate language that would be stricken from a heading or the present law and underscoring indicates new language that would be added.