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CA SB255
Bill
AI Summary
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Clarifies that "mastectomy" includes partial breast removal, specifically lumpectomy with surgical removal of the tumor with clear margins, for both health care service plans and disability insurance policies.
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Requires consultation between the attending physician, surgeon, and patient regarding hospital stay length to occur postsurgery for mastectomy and lymph node dissection procedures.
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Mandates coverage for prosthetic devices, reconstructive surgery, and all complications from mastectomy (including lymphedema) for both health care service plans and disability insurers.
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Prohibits health care plans and insurers from reducing provider reimbursement, providing incentives to limit care, or offering payments to encourage acceptance of less than required coverage.
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Specifies that no local reimbursement is required under Article XIII B of the California Constitution, as costs result from changes to crime definitions.
Legislative Description
Health care coverage: breast cancer.
Last Action
Chaptered by Secretary of State. Chapter 449, Statutes of 2012.
9/22/2012