Whether you’re a health care professional, policymaker, or an individual passionate about colorectal cancer awareness, this map serves as a valuable resource to understand the landscape of colorectal cancer across the nation.
 State |
Expected Cases
Expected Cases Rate per 100,000 people The expected numbers are not guarantees but rather statistical predictions for the upcoming year. Keep in mind that these projections are subject to change based on various factors, and they serve as informative guidelines rather than definitive outcomes. |
Expected Deaths
Expected Deaths Rate per 100,000 people The expected numbers are not guarantees but rather statistical predictions for the upcoming year. Keep in mind that these projections are subject to change based on various factors, and they serve as informative guidelines rather than definitive outcomes. |
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| Alabama | 2,690 | 970 |  |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Alabama state law requires state-regulated health plans to cover CRC screening beginning at age 50 for those at average risk and under age 50 for individuals who are considered high risk for colorectal cancer. See here for additional details. Follow-Up Colonoscopy Coverage Alabama state law does not explicitly prohibit private insurance plans from charging patients for follow-up colonoscopies after an abnormal stool-based test. Medicaid Coverage Alabama Medicaid provides coverage for CRC screening tests that have received a grade A or B rating from USPSTF. This includes colorectal cancer screening coverage beginning at age 45. Currently, this only applies for a two-year window which began in October 2025 and ends in late September 2027. See here and here for additional details. |
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| Alaska | 340 | 90 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Alaska state law requires state-regulated health plans to cover CRC screening beginning at age 50 for those at average risk and under age 50 for individuals who are considered to be at high risk for colorectal cancer. See here for additional details. Follow-Up Colonoscopy Coverage Alaska state law does not explicitly prohibit public and private insurance plans from charging patients for follow-up colonoscopies after an abnormal stool-based test. Medicaid Coverage Alaska Medicaid provides coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here for additional details. |
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| Arizona | 3,330 | 1,330 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Arizona state law requires state-regulated health plans to cover CRC screening beginning at age 45 for those at average risk and under age 45 for individuals who are considered to be at high risk for colorectal cancer. See here for additional details. Follow-Up Colonoscopy Coverage Arizona state law does not prohibit public and private insurance plans from charging patients for follow-up colonoscopies after an abnormal stool-based test. Medicaid Coverage Arizona Medicaid provides coverage for CRC screening beginning at age 45 in accordance with USPSTF recommendations. See here for more information. |
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| Arkansas | 1,620 | 670 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Arkansas state law requires state-regulated health plans to cover CRC screening beginning at age 45 for all people and under age 45 for individuals who are defined as high risk for colorectal cancer. See here for additional details. Follow-Up Colonoscopy Coverage Since January 1, 2022, Arkansas state law prohibits public and private insurance plans from charging patients for colorectal cancer preventive services including screening colonoscopies recommended by the USPSTF, follow-up colonoscopies after an abnormal stool-based test, and related procedures such as polyp removal, pathology, specialist consultations, bowel prep, and anesthesia. Medicaid Coverage Arkansas Medicaid provides coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. Fight CRC Catalyst Grantee: As a Fight CRC Catalyst grantee, American Cancer Society Cancer Action Network Arkansas, successfully passed legislation in 2021 to lower the colorectal cancer screening age to 45 for those at average risk and removed out of pocket costs for patients needing a colonoscopy after an abnormal non-invasive screening test. The legislation also requires that every health plan issued in the state cover, without any cost sharing, a colorectal cancer screening test assigned either a grade of A or a grade of B by the USPSTF. |
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| California | 16,650 | 5,660 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening California state law requires state-regulated health plans to cover colorectal cancer screening that has been assigned an A or B grade by the USPSTF. This means coverage of CRC screening beginning at age 45 for those at average risk. See here for additional details. Follow-Up Colonoscopy Coverage Beginning in 2022, California state law prohibits cost-sharing for a follow-up colonoscopy after an abnormal non-invasive screening test. See here for additional details. Medicaid Coverage California’s Medicaid program provides coverage for colorectal cancer screening beginning at age 45 in accordance with the USPSTF. See here for additional details. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, California Colorectal Cancer Coalition (C4), successfully passed legislation in 2021 to remove out of pocket costs for Californians needing a colonoscopy after an abnormal non-invasive screening test. The legislation also requires that every health plan issued in the state to cover, without any cost sharing, a colorectal cancer screening test assigned either a grade of A or a grade of B by the USPSTF. |
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| Colorado | 2,210 | 790 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Colorado state law requires state-regulated health plans to cover colorectal cancer screening assigned an A or B grade by the USPSTF. This means that coverage of CRC screening begins at age 45 for those at average risk. See here for additional details. Follow-Up Colonoscopy Coverage Colorado law requires insurers to cover the total cost of the preventive health care services outlined by the USPSTF, including follow-up colonoscopies, after a positive stool-based test. Colorado considers these tests to be part of the preventive screening process and must be fully covered by state-regulated plans. Medicaid Coverage Colorado’s Medicaid provides coverage for CRC screening beginning at age 45 in accordance with the USPSTF. See here for additional details. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee in 2021, Colorado Cancer Coalition, introduced legislation to lower the colorectal cancer screening age to 45 for those at average risk and removed out of pocket costs for patients needing a colonoscopy after an abnormal non-invasive screening test. The bill successfully passed the House and had strong support in both chambers of the legislature, but unfortunately the governor opposed it, and it was unable to move forward. |
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| Connecticut | 1,690 | 490 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Connecticut state law requires state-regulated health plans to cover CRC screening beginning at age 45 for those at average risk. See here for additional details. Follow-Up Colonoscopy Coverage Connecticut law prohibits deductibles for procedures initially undertaken as screening colonoscopy and prohibits out-of-pocket costs for additional colonoscopies ordered in the same policy year. Medicaid Coverage Connecticut’s Medicaid program provides coverage for colorectal cancer screening beginning at age 45 in accordance with the USPSTF. See here for additional details. |
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| Delaware | 520 | 190 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Delaware state law requires state-regulated health plans must cover colorectal cancer screening for eligible individuals beginning at age 50. See here for additional details. Follow-Up Colonoscopy Coverage Delaware law considers a follow-up colonoscopy after a positive screening test to be preventive care and therefore must be provided with no cost-sharing if determined to be medically necessary by the physician. See here for more information. Medicaid Coverage Delaware’s Medicaid program provides coverage for colorectal cancer screening beginning at age 45 in accordance with the USPSTF. See here for additional details. |
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| District of Columbia | 230 | 80 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening The District of Columbia law requires all health plans – including every individual and group health insurance plan – to cover colorectal cancer screening beginning at age 45 in compliance with the American Cancer Society. See here for additional details. Follow-Up Colonoscopy Coverage The District of Columbia relies on Federal guidance and American Cancer Society guidelines to ensure that all ACS recommended screening tests and any necessary follow-up colonoscopies will be covered and that there will be no out-of-pocket costs for eligible residents. Medicaid Coverage The District of Columbia’s Medicaid program provides coverage for colorectal cancer screening beginning at age 45 in accordance with ACS recommendations. See here for additional details. |
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| Florida | 12,850 | 4,240 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Currently, there is no state-mandated requirement for health insurance plans in Florida to cover CRC screening tests. Most health insurance plans sold in Florida defer to the minimum Federal standards which would provide coverage for CRC screening beginning at age 45. Follow-Up Colonoscopy Coverage Currently, there is no law explicitly prohibiting any cost-sharing for Floridians who get a follow-up colonoscopy after an abnormal non-invasive screening test. Medicaid Coverage Florida’s Medicaid program provides coverage for colorectal cancer screening beginning at age 45 in accordance with the USPSTF. See here for additional details. |
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| Georgia | 5,350 | 1,750 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Georgia insurance policies follow the guidelines set by the American Cancer Society that screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage Georgia does not have a law which explicitly prohibits cost-sharing for follow-up colonoscopies after a positive screening test. Medicaid Coverage Georgia’s Medicaid program provides coverage for colorectal cancer screening beginning at age 45 in accordance with the USPSTF. See here for additional details. Fight CRC Catalyst Grantee Fight CRC Catalyst grantee, GeorgiaCORE, was able to successfully secure $250,000 in the GA state budget for a CRC Screening Awareness Campaign. In addition, their advocacy and testimony led to the creation of a Georgia House Study Committee on Cancer Care Access tasked with identifying policies and programs to increase cancer screenings and quality of care in Georgia. From these meetings, our grantee’s policy recommendations on CRC screening access were unanimously supported and submitted to the Georgia Legislature for future consideration. |
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| Hawaii | 840 | 260 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Hawaii state law requires state-regulated health plans to cover USPSTF A and B screening recommendations, and that screening coverage should begin at age 45. See here for additional details. Follow-Up Colonoscopy Coverage Hawaii state law does not explicitly prohibit public and private insurance plans from charging patients for follow-up colonoscopies after a positive or abnormal stool-based test. Medicaid Coverage Hawaii Medicaid program provides coverage for colorectal cancer screening beginning at age 45 in accordance with the USPSTF. See here for additional details. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, American Cancer Society Cancer Action Network Hawaii, supported legislation that would provide funding to cover colonoscopy after an abnormal non-invasive colorectal cancer screening test for uninsured and underinsured Hawaiians in alignment with the recommendations of the USPSTF. |
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| Idaho | 900 | 310 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Currently, there is no state-mandated requirement for health insurance plans in Idaho to cover colorectal cancer screening. Follow-Up Colonoscopy Coverage Idaho does not have state law which explicitly prohibits cost-sharing for follow-up colonoscopies after an abnormal screening test. Medicaid Coverage Idaho’s Medicaid program provides coverage for colorectal cancer screening beginning at age 45 based on “A” or “B” recommendations of the USPSTF. See here for additional details. |
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| Illinois | 6,160 | 2,080 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Illinois state law requires state-regulated health plans to follow the guidelines set by the American Cancer Society that screening coverage should begin at age 45 for those average risk. See here and here for additional details. Follow-Up Colonoscopy Coverage Since 2022, Illinois state law requires coverage of follow up colonoscopy after an abnormal non-invasive screening test. Beginning in 2026, group and individual health insurance plans must provide coverage for any colonoscopy that is determined to be medically necessary, not just follow up after screenings. Medicaid Coverage Illinois Medicaid managed care organizations cover without cost-sharing colorectal cancer screening beginning at age 45 for those at average-risk. See additional information here and here. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, American Cancer Society Cancer Action Network Illinois secured dedicated funding in the Illinois FY2025 Budget for colorectal cancer screening including funding for patient navigation. |
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| Indiana | 3,510 | 1,260 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Indiana state law requires state-regulated health plans to cover colorectal cancer screening for individuals aged 45 and older, as well as those under 45 who are considered high risk. See here for additional details. Follow-Up Colonoscopy Coverage Beginning in 2022, Indiana state law prohibits cost sharing for preventive screenings including follow-up colonoscopy after an abnormal non-invasive test. Medicaid Coverage Indiana Medicaid provides coverage for colorectal cancer screening beginning at age 45 based on reference to “A” or “B” recommendations of the USPSTF. See here and here for more information. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, American Cancer Society Cancer Action Network Indiana successfully signed into law legislation in 2022 that eliminated cost sharing for all colorectal cancer screening including colonoscopy following an abnormal non-invasive screening test. This built on a law that was passed in 2020 that required insurance companies to cover colonoscopies at age 45 instead of the previously recommended 50. |
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| Iowa | 1,630 | 530 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Currently, there is no state statute regarding health insurance coverage of colorectal cancer screening. Follow-Up Colonoscopy Coverage Currently there is no state statute that explicitly prohibits cost-sharing for a follow-up colonoscopy after an abnormal non-invasive screening test. Medicaid Coverage Iowa Medicaid provides coverage for colorectal cancer screening beginning at age 45 based on reference to “A” or “B” recommendations of the USPSTF. See here for more information. |
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| Kansas | 1,410 | 510 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Currently, there is no state statute explicitly requiring health insurance plans in Kansas to cover colorectal cancer screening. Follow-Up Colonoscopy Coverage Currently there is no state statute that explicitly prohibits cost-sharing for a follow-up colonoscopy after an abnormal non-invasive screening test. Medicaid Coverage Kansas Medicaid provides coverage for colorectal cancer screening beginning at age 45 based on American Cancer Society recommendations. See here for more information. |
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| Kentucky | 2,660 | 970 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Kentucky insurance policies follow the guidelines set by the American Cancer Society that screening coverage should begin at age 45 for those average risk. See here for additional details. Beginning in 2026, all health insurance plans issued in Kentucky must provide access to colorectal cancer screenings for any high-risk individuals – no matter what age – and eliminates out-of-pocket costs for all colorectal cancer examinations and laboratory tests specified in the U.S. Multi-Society Task Force on Colorectal Cancer guidelines. See here and here for more information. Follow-Up Colonoscopy Coverage Kentucky state law requires state-regulated health plans to cover follow-up colonoscopies after an abnormal stool-based colorectal cancer screening without cost-sharing. See here for more information. Medicaid Coverage Kentucky Medicaid provides coverage for colorectal cancer screening beginning at age 45 in accordance with the recommendations of the American Cancer Society/ In addition, Medicaid beneficiaries in Kentucky have no cost-sharing for covered services including any follow-up colonoscopy after an abnormal screening test. See here and here for more information. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, Kentucky successfully became the first state to adopt a pharmacy protocol that allows pharmacists to produce colorectal cancer education, and when appropriate, initiate non-invasive colorectal cancer screening. Grantees in Kentucky also successfully worked to ensure access to colorectal cancer screening and genetic testing in Kentucky’s Medicaid program. |
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| Louisiana | 2,500 | 870 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Louisiana state law requires state regulated health plans to cover “routine colorectal cancer screening” in accordance with the most recently published recommendations established by the American Cancer Society or the National Comprehensive Cancer Network, for the ages, family histories, and frequencies referenced in such recommendations. See here for additional details. Follow-Up Colonoscopy Coverage Louisiana state law requires state-regulated health plans to cover “routine colorectal cancer screening” in accordance with the most recently published recommendations established by the American Cancer Society or the National Comprehensive Cancer Network which should include follow-up colonoscopies after an abnormal stool-based colorectal cancer screening. See here for additional detail. Medicaid Coverage Louisiana Medicaid provides coverage for colorectal cancer screening beginning at age 45 in accordance with the recommendations of the American Cancer Society and USPSTF. In addition, Medicaid beneficiaries in Louisiana have no cost-sharing for covered services including any follow-up colonoscopy after an abnormal screening test. See here and here for more information. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, Taking Aim at Cancer Louisiana (TACL) engaged their state’s Payer’s Council, a group of the largest health insurers in the state and commissioned a report comparing the colorectal cancer screening coverage policies of the two largest insurers. They then used that report to engage the insurers directly to urge them to strengthen their policies. The grantees in Louisiana also created educational material with information on colorectal cancer screening that they sent out to over 3,000 primary care physicians in the state. |
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| Maine | 730 | 260 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Maine law requires state-regulated health plans to cover all colorectal cancer screening tests recommended by a healthcare provider and following “national cancer society guidelines”. There is no specific minimum age. See here for more information. Follow-Up Colonoscopy Coverage Maine law does not explicitly eliminate patient cost-sharing, nor does it clearly require coverage of follow-up colonoscopies after an abnormal non-invasive test. However, insurers must treat colonoscopies with polyp removal as screening for billing purposes. Medicaid Coverage Maine’s Medicaid program provides coverage for colorectal cancer screening beginning at age 45 based on “A” or “B” recommendations of the USPSTF. See here for additional details. |
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| Maryland | 2,740 | 980 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Maryland statute requires state-regulated health plans to follow the guidelines set by the American Cancer Society that screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage Maryland state law does not explicitly eliminate patient cost-sharing for follow-up colonoscopies after an abnormal stool test. However, Insurers must treat colonoscopies with polyp removal as screening for billing purposes. See here for more information. Medicaid Coverage Maryland Medicaid program provides coverage for colorectal cancer screening beginning at age 45 for those at average risk. See here for additional details. |
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| Massachusetts | 2,910 | 840 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Massachusetts statute requires state-regulated health plans to follow the guidelines set by the USPSTF for colorectal cancer screening. This means screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage Massachusetts state law does not explicitly eliminate patient cost-sharing for follow-up colonoscopies after an abnormal stool test. However, Insurers must treat colonoscopies with polyp removal as screening for billing purposes. Medicaid Coverage Massachusetts Medicaid provides coverage for colorectal cancer screening beginning at age 45 for those at average risk based on reference to “A” or “B” recommendations of the USPSTF. See here for additional details. Since mid-2024, Massachusetts Medicaid also eliminated all copayments for covered services including preventive or diagnostic screening follow-up. |
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| Michigan | 4,830 | 1,630 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Presently, there is no state-mandated requirement for health insurance plans in Michigan to cover CRC screening tests or specify any cost-sharing obligations for Michiganders who get a follow-up colonoscopy after an abnormal or positive non-invasive screening test. Follow-Up Colonoscopy Coverage Michigan state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal stool-based test. ACA-compliant plans regulated by the Michigan Department of Insurance Financial Services Medicaid Coverage Michigan Medicaid provides coverage for colorectal cancer screening for members age 45 and older or those younger if at high risk for colorectal cancer. See here for additional details. |
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| Minnesota | 2,630 | 800 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Minnesota state law requires state-regulated health plans to follow the guidelines set by the USPSTF that screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage Minnesota state law established that health plans must cover colorectal screenings and any necessary follow-up diagnostic tests at no cost to the patient. See here for additional details. Medicaid Coverage Minnesota Medicaid provides coverage for colorectal cancer screening for members age 45 and older or those younger if at high risk for colorectal cancer. See here for additional details. Fight CRC Catalyst Grantee As a Catalyst Grantee, advocates in Minnesota will lead advocacy efforts across the aisle during the 2025–2026 biennial legislative session of the state Legislature of legislation that will preserve no-cost coverage of colorectal cancer screening in statute in accordance with USPSTF recommendations. |
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| Mississippi | 1,690 | 670 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Currently, there is no state-mandated requirement for health insurance plans in Mississippi to cover CRC screening tests. Follow-Up Colonoscopy Coverage Mississippi does not have a law which explicitly prohibits cost-sharing for follow-up colonoscopies after an abnormal non-invasive screening test. Medicaid Coverage Mississippi Medicaid provides coverage for colorectal cancer screening for individuals at age 50 and older at average risk and those under age 50 who are identified as being at high risk for colorectal cancer. See here for more information. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, representatives from the Mississippi Department of Health are developing an action plan to advance a colorectal cancer screening registry in the state. |
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| Missouri | 3,200 | 1,280 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Missouri state law requires state-regulated health plans to follow the guidelines set by the American Cancer Society that screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage Missouri does not have a law which explicitly prohibits cost-sharing for follow-up colonoscopies after an abnormal non-invasive screening test. Medicaid Coverage Missouri Medicaid managed care plans must provide coverage for colorectal cancer screening beginning at age 45 for those at average risk. See here for more information. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, the Missouri Colorectal Cancer Roundtable is working to explore “small p” policy changes within one of their largest health systems to increase CRC screening By working with the system’s HR and employee benefits teams, they aim to create a model for other health systems and employers. |
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| Montana | 550 | 200 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Currently, there is no state-mandated requirement for individual or group health insurance plans in Montana to cover colorectal cancer screening. Follow-Up Colonoscopy Coverage As a result of the Advisory Memorandum issued in 2022, with the exception of a small number of self-funded employer plans (ERISA plans), all other commercial and group medical health insurance plans in Montana must provide follow-up colonoscopies without any cost-sharing. Medicaid Coverage Montana Medicaid provides coverage for colorectal cancer screening beginning at age 45 for average-risk adults in accordance with USPSTF. See here for more information. |
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| Nebraska | 950 | 340 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Nebraska state law requires state-regulated health plans to cover CRC screening beginning at age 45 for those at average risk. See here for additional details. Follow-Up Colonoscopy Coverage As of January 1, 2024, Nebraska state law prohibits state-regulated health plans from charging patients for colorectal cancer preventive services including screening colonoscopies recommended by the USPSTF, follow-up colonoscopies after an abnormal stool-based test, and related procedures such as polyp removal, pathology, specialist consultations, bowel prep, and anesthesia. Medicaid Coverage Nebraska’s Medicaid program providers coverage for colorectal cancer screening beginning at age 45. See here for additional details. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, Nebraska Cancer Coalition introduced legislation to ensure access to colorectal cancer screening beginning at age 45 for those at average risk and remove out of pocket costs for colonoscopy following an abnormal non-invasive screening test. In April 2024, the Governor signed LB829 into law. |
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| Nevada | 1,530 | 580 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Nevada insurance policies follow the guidelines set by the American Cancer Society that screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage Nevada state law requires commercial insurers to cover a follow-up colonoscopy at no cost to the patient if it follows a positive non-invasive screening test. See here for more information. Medicaid Coverage Nevada’s Medicaid program provides coverage for colorectal cancer screening beginning at age 45 for those at average risk. Beginning in 2026, Nevada Medicaid now covers non-invasive screening tests at no-cost and if there is an abnormal result, there is no-cost to the follow-up colonoscopy. See here for more information. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, the Nevada Cancer Coalition advanced AB234, which would add colorectal cancer to the list of cancers for which screening would be covered by Nevada Medicaid in addition to lung and prostate cancers. It was signed into law by Governor Lombardo in June 2025. In addition, our grantees created and disseminated a toolkit for Home-Based CRC Screening in the Community and completed an assessment of barriers to CRC screening in the state that contributed to the 2026-2030 Nevada Cancer Plan. |
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| New Hampshire | 670 | 190 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening New Hampshire insurance policies follow the guidelines set by the USPSTF or the American Cancer Society that screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage New Hampshire state law requires follow-up colonoscopies after an abnormal result from a non-invasive screening test must be covered with no copay, deductible, or coinsurance. Medicaid Coverage New Hampshire Medicaid covers colorectal cancer screening beginning at age 45 for average-risk adults in accordance with the USPSTF and American Cancer Society. See here for more information. |
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| New Jersey | 4,540 | 1,330 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening New Jersey state law requires state-regulated health plans to cover colorectal cancer screening in accordance with A or B rating by the USPSTF. This means that coverage of CRC screening begins at age 45 for those at average risk. See here for additional details. Follow-Up Colonoscopy Coverage New Jersey state law requires state-regulated health plans to cover follow-up colonoscopies after an abnormal result from a non-invasive screening test. Medicaid Coverage New Jersey Medicaid provides coverage for colorectal cancer screening for members age 45 and older or those younger if at high risk for colorectal cancer. See here for additional details. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, the American Cancer Society Cancer Action Network New Jersey passed legislation in 2022 that required health insurers to cover colorectal cancer screenings recommended by the USPSTF and eliminate cost-sharing for required follow-up colonoscopies after an abnormal non-invasive screening test. |
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| New Mexico | 940 | 360 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening New Mexico state law requires state-regulated health plans to cover colorectal cancer screening having been assigned an A or B grade by the USPSTF. This means that coverage of CRC screening begins at age 45 for those at average risk. See here and here for additional details. Follow-Up Colonoscopy Coverage New Mexico state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal stool-based test. Medicaid Coverage New Mexico’s Medicaid program provides coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here for additional details. |
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| New York | 9,140 | 2,680 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening New York state law requires state-regulated insurance plans to follow the guidelines set by the American Cancer Society that screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage Since 2022, New York law eliminates cost-sharing for colonoscopies performed after an abnormal result on a non-invasive screening test. See here for additional details. Medicaid Coverage New York State Medicaid provides coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here for additional details. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, the American Cancer Society Cancer Action Network New York passed legislation in 2022 that ensures colorectal cancer screening coverage for New Yorkers at average-risk starting at age 45, and ensures that state-regulated insurance plans cover, with no cost-sharing, follow-up colonoscopies after an abnormal non-invasive stool test. |
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| North Carolina | 5,050 | 1,900 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening North Carolina law requires state-regulated insurance plans to provide colorectal cancer screening coverage beginning at age 45 for those at average risk in accordance with the American Cancer Society or the North Carolina Advisory Committee on Cancer Coordination and Control. See here for additional details. Follow-Up Colonoscopy Coverage North Carolina state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal non-invasive test. Medicaid Coverage North Carolina Medicaid includes coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here (Page 2) for additional details. |
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| North Dakota | 360 | 110 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Currently, there is no state-mandated requirement for individual or group health insurance plans in North Dakota to cover CRC screening. Follow-Up Colonoscopy Coverage North Dakota state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal non-invasive test. Medicaid Coverage North Dakota’s Medicaid program provides coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here for additional details. |
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| Ohio | 5,830 | 2,020 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Currently, there is no state-mandated requirement for individual or group health insurance plans in Ohio to cover CRC screening, however, the Ohio Department of Insurance regulates ACA-compliant plans which follow the USPSTF A or B rating to provide coverage for non-invasive CRC screening tests at no out-of-pocket costs to Ohioans. Follow-Up Colonoscopy Coverage Ohio state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal non-invasive test. Medicaid Coverage Ohio Medicaid provides coverage for colorectal cancer screening beginning at age 50. See here for additional details. |
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| Oklahoma | 2,010 | 820 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Oklahoma state law requires state-regulated health plans to cover colorectal cancer screenings for individuals who are 50 years or older or younger than 50 years old and at high risk for colorectal cancer. See here for additional details. Follow-Up Colonoscopy Coverage Oklahoma state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal stool-based test. Medicaid Coverage Oklahoma Medicaid provides coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here for additional details. or additional details. |
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| Oregon | 1890 | 670 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Oregon state law requires state-regulated health plans to cover colorectal cancer screening that has been assigned an A or B grade by the USPSTF. This means that coverage of CRC screening begins at age 45 for those at average risk. See here for additional details. Follow-Up Colonoscopy Coverage Oregon state law prohibits cost sharing for any colonoscopy following an abnormal result from a non-invasive screening test with a grade of A or of B from the USPSTF. Medicaid Coverage Oregon Medicaid provides coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here for additional details. |
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| Pennsylvania | 6,520 | 2,240 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Pennsylvania insurance policies follow the guidelines set by the American Cancer Society that screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage Pennsylvania state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal non-invasive test. Medicaid Coverage Pennsylvania Medicaid provides coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here for additional details. |
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| Puerto Rico | no data available | no data available | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Puerto Rico’s Insurance Code states that all individual, small group, and large group health insurance plans must include coverage for CRC screenings. See here and here for more information. Follow-Up Colonoscopy Coverage Puerto Rico Office of the Commissioner of Insurance (OCS) establishes that a follow-up colonoscopy after an abnormal non-invasive screening test should still be considered a screening test and there should not be any out-of-pocket costs. See here for more information. Medicaid Coverage Puerto Rico Medicaid provides coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here for additional details. |
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| Rhode Island | 490 | 150 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Rhode Island insurance policies follow the guidelines set by the American Cancer Society that screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage Rhode Island statute prohibits cost-sharing for follow-up colonoscopies after an abnormal stool-based test for individuals aged 45 and older as long as it is performed by an in-network provider. See here for additional details. Medicaid Coverage Rhode Island Medicaid covers colorectal cancer screening for eligible adults aged 45 to 75, including follow-up colonoscopies after abnormal non-invasive tests, with no cost-sharing. See here for additional information. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, the American Cancer Society Cancer Action Network Rhode Island passed legislation in 2021 to remove out-of-pocket costs for patients needing a colonoscopy following an abnormal non-invasive screening test. The bill was named after Senator Maryellen Goodwin, a long-time member of the Rhode Island State Legislature and champion for access to healthcare who passed away from colorectal cancer in April 2023. |
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| South Carolina | 2,820 | 970 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Currently, there is no state-mandated requirement for individual or group health insurance plans in South Carolina to cover CRC screening tests.. Follow-Up Colonoscopy Coverage South Carolina state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after a positive or abnormal stool-based test. Medicaid Coverage South Carolina’s Medicaid program includes coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here for additional details. |
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| South Dakota | 460 | 150 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Currently, there is no state-mandated requirement for individual or group health insurance plans in South Dakota to cover CRC screening tests.. Follow-Up Colonoscopy Coverage South Dakota state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal non-invasive test. Medicaid Coverage South Dakota’s Medicaid program includes coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here for additional details. |
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| Tennessee | 3,560 | 1,610 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Tennessee insurance policies follow the guidelines set by the most current American Cancer Society recommendation that screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage Tennessee state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal non-invasive test. Medicaid Coverage Tennessee Medicaid covers colorectal cancer screening for eligible adults aged 45 in accordance with USPSTF recommendations. See here and here for additional details. |
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| Texas | 13,310 | 4,750 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Texas state law requires state regulated health plans and health policies to cover colorectal cancer screening having been assigned as an A or B grade by the U.S. Preventive Services Taskforce (“USPSTF”). This means that coverage of CRC screening begins at age 45 for those at average risk. See here for additional details. Follow-Up Colonoscopy Coverage Since 2021, Texas law prohibits out-of-pocket costs for follow-up colonoscopies after an abnormal non-invasive test. Medicaid Coverage Texas Medicaid provides coverage for colorectal cancer screening beginning at age 45. See here for additional information. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, the American Cancer Society Cancer Action Network Texas passed legislation in 2021 to ensure access to colorectal cancer screening coverage for Texans at average-risk starting at age 45, and ensure that state-regulated insurance plans cover, with no cost-sharing, follow-up colonoscopies after an abnormal non-invasive stool test. |
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| Utah | 1,030 | 440 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Currently, there is no state-mandated requirement for individual or group health insurance plans in Utah to cover CRC screening tests. Follow-Up Colonoscopy Coverage Utah state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal non-invasive test. As part of the One Utah Health Collaborative “Screen Utah” initiative, a large number of Utah’s private employers and individual insurance carriers have will reduce or eliminate out-of-pocket cost for follow-up colonoscopy after an abnormal non-invasive test. See here for more information and if your insurer is among those participating. Medicaid Coverage Utah Medicaid provides coverage for CRC screening for members beginning at age 45 in alignment with USPSTF Grade A and B recommendations. As part of the One Utah Health Collaborative “Screen Utah” initiative, Utah’s Medicaid Accountable Care Organizations (ACOs) will reduce or eliminate out-of-pocket cost for follow-up colonoscopy after an abnormal non-invasive test. See here for more information and to see if your provider is among those participating. |
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| Vermont | 310 | 130 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Vermont state law requires that state-regulated health insurance plans align with the most recent colorectal cancer screening guidelines from the USPSTF. This means that screening for adults begins at age 45 for those at average risk. Follow-Up Colonoscopy Coverage Beginning in 2025, state-regulated health insurance plans must provide coverage for colorectal cancer screening services without imposing any cost-sharing requirements, including for follow-up colonoscopy after an abnormal stool-based test. See here for additional information. Medicaid Coverage Vermont’s Medicaid program includes coverage for colorectal cancer screening beginning at age 45 in accordance with USPSTF recommendations. See here for additional details. |
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| Virginia | 3,770 | 1,490 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Virginia state law requires state-regulated health plans to cover colorectal cancer screening assigned an A or B grade by the USPSTF. This means coverage of CRC screening beginning at age 45 for those at average risk. See here for additional details. Follow-Up Colonoscopy Coverage Since 2025, all state-regulated individual and group plans will be required to provide no-cost coverage for a follow-up colonoscopy after an abnormal stool-based test. See here and here for additional information. Medicaid Coverage Virginia Medicaid covers colorectal cancer screening beginning at age 45 for average risk adults in accordance with the USPSTF. See here for more information. Fight CRC Catalyst Grantee In 2024, Fight CRC Catalyst grantees, the American Cancer Society Cancer Action Network Virginia, passed legislation to remove out-of-pocket costs for patients needing a colonoscopy following an abnormal noninvasive screening test. The legislation also requires health insurers to cover colorectal cancer screenings recommended by the USPSTF. |
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| Washington | 3,300 | 1,160 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Washington state insurance policies require coverage for colorectal cancer screening beginning at age 50 for those at average risk or younger than 50 for those at high risk for colorectal cancer or with specific symptoms. See here for additional details. Follow-Up Colonoscopy Coverage Washington State requires health insurance policies to cover colorectal cancer screenings, including follow-up colonoscopies, without cost-sharing. See here for additional information. Medicaid Coverage Washington State Medicaid covers colorectal cancer screening tests average-risk adults age 45 and older in accordance with the USPSTF. See here for more information. Medicaid beneficiaries also have no out-of-pocket costs for follow-up colonoscopy after an abnormal non-invasive test. |
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| West Virginia | 1,060 | 420 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening West Virginia insurance policies require colorectal cancer screening coverage beginning at age 50 for non-symptomatic adults or younger than 50 years with specific symptoms. See here for additional details. Follow-Up Colonoscopy Coverage West Virginia state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal non-invasive test. Medicaid Coverage West Virginia Medicaid covers colorectal cancer screening tests for high risk members and for members ages 45 and over. See here for more information. Fight CRC Catalyst Grantee As a Fight CRC Catalyst grantee, the WVU Cancer Institute, Cancer Prevention and Control is advancing legislation that would create a pilot program to provide coverage for uninsured and under-insured West Virginians with access to follow-up colonoscopy after an abnormal non-invasive screening test and connect them to treatment if their screening results in a diagnosis. |
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| Wisconsin | 2,680 | 880 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Wisconsin insurance policies follow the guidelines set by the American Cancer Society that screening coverage should begin at age 45 for those average risk. See here for additional details. Follow-Up Colonoscopy Coverage Wisconsin Office of the Commissioner of Insurance (OCI) issued a bulletin in 2022 encouraging insurers to align with USPSTF guidelines, which state that follow-up colonoscopy is part of the screening process. See bulletin here. Medicaid Coverage Wisconsin Medicaid covers colorectal cancer screening tests for high-risk members and for members ages 45 and over. See here for more information. |
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| Wyoming | 270 | 130 | |
Colorectal Cancer PolicyState Law on Colorectal Cancer Screening Wyoming state law has two separate mandates in law for individual and group health insurance plans which require insurers to cover colorectal cancer examinations and laboratory tests beginning at age 45 for average-risk adults. Follow-Up Colonoscopy Coverage Wyoming state law does not explicitly prohibit insurance plans from charging patients for follow-up colonoscopies after an abnormal non-invasive test. Medicaid Coverage For Wyoming residents whose income is at or below 250% of the Federal Poverty level, the Wyoming Colorectal Cancer Screening Program can be a resource for eligible residents. Please see here for additional information. |
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American Cancer Society. Cancer Facts & Figures 2025. Atlanta: American Cancer Society; 2025.
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