Colorectal Cancer Policy Map

CRC Status

Alabama is the 9th deadliest state for colorectal cancer in the U.S. overall* and 4th deadliest for people under 50. 73.70% of Alabamians are up-to-date with colorectal screening.

CRC Status

Alaska is the 6th deadliest state for colorectal cancer in the U.S. overall* and 31st deadliest for people under 50. 67.70% of Alaskans are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Arizona is the 38th deadliest state for colorectal cancer in the U.S. overall* and 40th deadliest for people under 50. 67.20% of Arizonans are up-to-date with colorectal screening. It is a Medicaid expansion state.

CRC Status

Arkansas is the 7th deadliest state for colorectal cancer in the U.S. overall and 7th deadliest for people under 50. According to the Centers for Disease Control and Prevention, 68.7% of Arkansans are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, 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 to cover without any cost-sharing a colorectal cancer screening test assigned either a grade of A or a grade of B by the United States Preventive Services Task Force (USPSTF).

CRC Status

California is the 41st deadliest state for colorectal cancer in the U.S. overall and 39th deadliest for people under 50. According to the Centers for Disease Control and Prevention, 67.3% of Californians are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, California 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 United States Preventive Services Task Force (USPSTF).

CRC Status

Colorado is the 48th deadliest state for colorectal cancer in the U.S. overall and 49th deadliest for people under 50. According to the Centers for Disease Control and Prevention, 72.60% of Coloradans are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, Colorado 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. However, existing Colorado law requires insurers to cover the total cost of the preventive health care services outlined by the United States Preventive Services Task Force (USPSTF).

CRC Status

Connecticut is the 51st deadliest state for colorectal cancer in the U.S. overall* and 48th deadliest for people under 50. 79.60% of Connecticuters are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Delaware is the 31st deadliest state for colorectal cancer in the U.S. overall* and 35th deadliest for people under 50. 75.10% of Delawareans are up-to-date with colorectal screening. It is a Medicaid expansion state.

CRC Status

D.C. is the 19th deadliest state for colorectal cancer in the U.S. overall* and 12th deadliest for people under 50. 78.10% of Washingtonians are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Florida is the 35th deadliest state for colorectal cancer in the U.S. overall* and 24th deadliest for people under 50. 72.10% of Floridians are up-to-date with colorectal screening. It is a CDC CRCCP grantee.

CRC Status

Georgia is the 17th deadliest state for colorectal cancer in the U.S. overall and 13th deadliest for people under 50. According to the Centers for Disease Control and Prevention, 72.30% of Georgians are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, Georgia is working to secure state funding for a campaign to bring awareness to the signs and symptoms of colorectal cancer, and to create a Special Commission on Cancer Care Access to help increase access to colorectal cancer screening across Georgia.

 

Georgia state law requires every health benefit policy to provide coverage for colorectal cancer screening in accordance with the most recently published guidelines and recommendations established by the American Cancer Society, in consultation with the American College of Gastroenterology and the American College of Radiology.

CRC Status

Hawaii is the 45th deadliest state for colorectal cancer in the U.S. overall and 29th deadliest for people under 50. According to the Centers for Disease Control and Prevention, 72.80% of Hawaiian are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

Fight CRC Catalyst grantees in Hawaii are working to ensure that uninsured and underinsured Hawaiians do not face out-of-pocket costs for colonoscopy following an abnormal non-invasive colorectal cancer screening test. In Hawaii, health insurance plans are required by law to cover colorectal cancer screenings based on the recommendations of the United States Preventive Services Task Force (USPSTF).

CRC Status

Idaho is the 32nd deadliest state for colorectal cancer in the U.S. overall* and 25th deadliest for people under 50. 68.60% of Idahoans are up-to-date with colorectal screening. It is a Medicaid expansion state.

CRC Status

Illinois is the 18th deadliest state for colorectal cancer in the U.S. overall* and 34th deadliest for people under 50. 70.10% of Illinoisans are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Indiana is the 10th deadliest state for colorectal cancer in the U.S. overall and 21st deadliest for people under 50. According to the Centers for Disease Control and Prevention, 75.2% of Hoosiers are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, Indiana successfully passed 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.

CRC Status

Iowa is the 23rd deadliest state for colorectal cancer in the U.S. overall* and 36th deadliest for people under 50. 73.80% of Iowans are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Kansas is the 15th deadliest state for colorectal cancer in the U.S. overall* and 16th deadliest for people under 50. 71.50% of Kansans are up-to-date with colorectal screening. It is a CDC CRCCP grantee.

CRC Status

Kentucky is the 4th deadliest state for colorectal cancer in the U.S. overall and 6th deadliest for people under 50. According to the Centers for Disease Control and Prevention, 71% of Kentuckians are up-to-date with colorectal screening.

 

Colorectal Cancer Screening

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, initiative 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.

CRC Status

Louisiana is the 5th deadliest state for colorectal cancer in the U.S. overall and 11th deadliest for people under 50. According to the Centers for Disease Control and Prevention, 75.3% of Louisianians are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, Louisiana 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.

 

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 College of Gastroenterology, in consultation with the American Cancer Society, for the ages, family histories, and frequencies referenced in such recommendations.

CRC Status

Maine is the 29th deadliest state for colorectal cancer in the U.S. overall* and 23rd deadliest for people under 50. 77.50% of Mainers are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Maryland is the 26th deadliest state for colorectal cancer in the U.S. overall* and 27th deadliest for people under 50.77.20% of Marylanders are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Massachusetts is the 49th deadliest state for colorectal cancer in the U.S. overall* and 41st deadliest for people under 50. 77.70% of Bay Staters are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Michigan is the 25th deadliest state for colorectal cancer in the U.S. overall* and 17th deadliest for people under 50. 76.70% of Michiganders are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Minnesota is the 46th deadliest state for colorectal cancer in the U.S. overall* and 38th deadliest for people under 50. 76.20% of Minnesotans are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Mississippi is the 1st deadliest state for colorectal cancer in the U.S. overall* and 2nd deadliest for people under 50. 69% of Mississippians are up-to-date with colorectal screening.

CRC Status

Missouri is the 20th deadliest state for colorectal cancer in the U.S. overall and 26th deadliest for people under 50. According to the Centers for Disease Control and Prevention, 71.60% of Missourians are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, Missouri is working to increase colorectal cancer screening by allowing pharmacists to provide education and information, and when appropriate, provide non-invasive colorectal cancer screening options to eligible patients. Missouri state law requires all health insurance policies providing coverage to any resident of Missouri must provide coverage for colorectal cancer screening in accordance with the current American Cancer Society guidelines.

CRC Status

Montana is the 42nd deadliest state for colorectal cancer in the U.S. overall* and 46th deadliest for people under 50. 70.60% of Montanans up-to-date with colorectal screening. It is a Medicaid expansion state.

CRC Status

Nebraska is the 13th deadliest state for colorectal cancer in the U.S. overall and 44th deadliest for people under 50. According to the Centers for Disease Control and Prevention, 70% of Nebraskans up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, Nebraska 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. Unfortunately, the bill did not advance. Nebraska state law requires state-regulated health plans (except for short-term health plans) and any self-funded employee benefit plan to include coverage for colorectal cancer screening. Screening coverage includes a maximum of one screening fecal occult blood test annually and a flexible sigmoidoscopy every five years, a colonoscopy every ten years, a barium enema every five to ten years, or any combination, or the most reliable, medically recognized screening test available.

CRC Status

Nevada is the 11th deadliest state for colorectal cancer in the U.S. overall and 33rd deadliest for people under 50. According to the Centers for Disease Control and Prevention, 66.0% of Nevadans up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, Nevada is working to increase screening for low income, uninsured and other medically underserved populations by ensuring that Nevada Medicaid covers all available colorectal cancer screening modalities. Nevada state law requires a health care plan issued by a managed care organization that provides coverage for the treatment of colorectal cancer to provide coverage for colorectal cancer screening in accordance with American Cancer Society guidelines or other guidelines or reports concerning colorectal cancer screening which are published by nationally recognized professional organizations, and which include current supporting scientific data.

CRC Status

New Hampshire is the 40th deadliest state for colorectal cancer in the U.S. overall* and 14th deadliest for people under 50. 76.70% of New Hampshirites are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

New Jersey is the 30th deadliest state for colorectal cancer in the U.S. overall and 43rd deadliest for people under 50. According to the Centers for Disease Control and Prevention, 71.3% of New Jerseyans are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, New Jersey passed legislation in 2022 that required health insurers to cover colorectal cancer screenings recommended by the United States Preventive Services Task Force (USPSTF) and eliminate cost-sharing for required follow-up colonoscopies after an abnormal non-invasive screening test.

CRC Status

New Mexico is the 34th deadliest state for colorectal cancer in the U.S. overall* and 9th deadliest for people under 50. 63.50% of New Mexicans are up-to-date with colorectal screening. It is a Medicaid expansion state.

CRC Status

New York is the 44th deadliest state for colorectal cancer in the U.S. overall and 37th deadliest for people under 50. According to the Centers for Disease Control and Prevention, 74.5% of New Yorkers are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, New York passed legislation in 2022 that ensures colorectal cancer screening coverage for New Yorkers 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.

CRC Status

North Carolina is the 33rd deadliest state for colorectal cancer in the U.S. overall* and 20th deadliest for people under 50. 76.10% of North Carolinians are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP Grantee.

CRC Status

North Dakota is the 28th deadliest state for colorectal cancer in the U.S. overall* and 18th deadliest for people under 50. 72.40% of North Dakotans are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Ohio is the 12th deadliest state for colorectal cancer in the U.S. overall* and 15th deadliest for people under 50. 72.80% of Ohioans are up-to-date with colorectal screening. It is a Medicaid expansion state.

CRC Status

Oklahoma is the 3rd deadliest state for colorectal cancer in the U.S. overall* and 1st deadliest for people under 50. 67.30% of Oklahomans are up-to-date with colorectal screening. It is a Medicaid expansion state.

CRC Status

Oregon is the 37th deadliest state for colorectal cancer in the U.S. overall* and 47th deadliest for people under 50. 71.80% of Oregonians are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Pennsylvania is the 22nd deadliest state for colorectal cancer in the U.S. overall* and 28th deadliest for people under 50. 72.30% of Pennslyvanians are up-to-date with colorectal screening. It is a Medicaid expansion state.

CRC Status

Rhode Island is the 47th deadliest state for colorectal cancer in the U.S. overall and 51st deadliest for people under 50. According to the Centers for Disease Control and Prevention, 79.5% of Rhode Islanders are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, Rhode Island passed legislation in 2021 to remove out-of-pocket costs for patients needing a colonoscopy following an abnormal noninvasive 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.

CRC Status

South Carolina is the 24th deadliest state for colorectal cancer in the U.S. overall* and 8th deadliest for people under 50. 75.90% OF South Carolinians are up-to-date- with colorectal screening. It is a CDC CRCCP grantee.

CRC Status

South Dakota is the 14th deadliest state for colorectal cancer in the U.S. overall* and 22nd deadliest for people under 50. 71.30% of South Dakotans are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP Grantee.

CRC Status

Tennessee is the 8th deadliest state for colorectal cancer in the U.S. overall* and 10th deadliest for people under 50. 70.60% of Tennesseans up-to-date with colorectal screening.

CRC Status

Texas is the 21st deadliest state for colorectal cancer in the U.S. overall and the 19th deadliest for people under 50. According to the Centers for Disease Control and Prevention, 68.3% of Texans are up-to-date with colorectal screening.

 

Colorectal Cancer Policy

As a Fight CRC Catalyst grantee, 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.

CRC Status

Utah is the 50th deadliest state for colorectal cancer in the U.S. overall* and 30th deadliest for people under 50.73.90% of Utahns up-to-date with colorectal screening.
It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Vermont is the 16th deadliest state for colorectal cancer in the U.S. overall* and 3rd deadliest for people under 50. 75.60% of Vermonters up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Virginia is the 27th deadliest state for colorectal cancer in the U.S. overall and the 32nd deadliest for people under 50. According to the Centers for Disease Control and Prevention, 76% of Virginians up-to-date with colorectal screening.

 

Colorectal Cancer Policy

In 2024, Fight CRC Catalyst grantee 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 United States Preventive Services Task Force (USPSTF).

CRC Status

Washington is the 43rd deadliest state for colorectal cancer in the U.S. overall* and 45th deadliest for people under 50. 74.40% of Washingtonian up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

West Virginia is the 2nd deadliest state for colorectal cancer in the U.S. overall* and 5th deadliest for people under 50. 72% of West Virginians up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.

CRC Status

Wisconsin is the 39th deadliest state for colorectal cancer in the U.S. overall* and 42nd deadliest for people under 50. Wisconsin is the 39th deadliest state for colorectal cancer in the U.S. overall* and 42nd deadliest for people under 50.

CRC Status

Wyoming is the 36th deadliest state for colorectal cancer in the U.S. overall* and 50th deadliest for people under 50. 63.70% of Wyomingite are up-to-date- with colorectal screening.