Washington State House of Representatives Office of Program Research |
BILL ANALYSIS |
Financial Institutions & Insurance Committee | |
ESSB 5452
Brief Description: Limiting genetic testing as a condition of life insurance.
Sponsors: Senate Committee on Financial Institutions, Housing & Consumer Protection (originally sponsored by Senators Franklin, Fairley, Stevens, Roach, Benson, Regala, Kline, Rockefeller, Rasmussen and Kohl-Welles).
Brief Summary of Engrossed Substitute Bill |
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Hearing Date: 3/22/05
Staff: Kara Durbin (786-7133).
Background:
Deoxyribonucleic acid (DNA) is the material inside the nucleus of cells that carries genetic
information. Genetic disorders are caused by abnormalities (known as mutations) in a person's
DNA. These abnormalities are formed by the erroneous addition, deletion, or substitution of
chemicals that make up DNA. Gene mutations can occur spontaneously or can be inherited.
Mutations also can be caused by environmental factors, such as exposure to chemicals or
radiation.
Genetic testing uses a variety of laboratory techniques to determine if a person has a genetic
condition or disease or is likely to get the disease. A predictive gene test, for example, can be
used to determine if a person has gene mutations that increase that person's chances of
developing a disease.
Life insurance rates are term-based and policies may be periodically reclassified. Life insurance
companies can use health care information, including genetic information, to deny coverage or to
set initial premiums. There are no laws preventing the use of preexisting conditions in life
insurance underwriting. However, once an insurance policy has been in force for two years, the
insurer cannot contest the policy, except for nonpayment of premiums.
Summary of Bill:
Insurers may not require a person to undergo a genetic test or provide previous genetic test
results as a condition of offering or renewing insurance. Insurers may use genetic information
only if it demonstrates the active presence of an illness or disease.
Genetic information is defined as written or recorded information about genes, gene products, or
genetic characteristics derived from an individual or a family member of an individual.
Chemical, blood, and urine analyses are excluded from the definition, unless they are conducted
to diagnose a genetic characteristic. Family histories, as well as drug abuse testing, cholesterol,
and HIV tests, are also excluded from the definition of genetic information.
A genetic test is defined as a test of human DNA, RNA, mitochondrial DNA, chromosomes, or
other material for the purpose of identifying genes, inherited or acquired genetic abnormalities, or
the presence or absence of inherited or acquired characteristics in the genetic material.
Cholesterol and HIV tests are excluded from the definition of genetic test.
Appropriation: None.
Fiscal Note: Not requested.
Effective Date: The bill takes effect 90 days after adjournment of session in which bill is passed.