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CT SB00810
Bill
Status
2/15/2017
Primary Sponsor
Insurance and Real Estate Committee
Click for details
AI Summary
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Redefines "mammogram" to include mammographic examinations and breast tomosynthesis with specific HCPCS billing codes (77051, 77052, 77055, 77056, 77057, 77063, G0202, G0204, G0206, G0279, or subsequent corresponding codes).
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Requires individual and group health insurance policies to cover baseline mammograms for women ages 35-39 and annual mammograms for women age 40 and older, with the option of breast tomosynthesis.
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Mandates coverage for comprehensive breast ultrasound screening when mammograms show dense breast tissue or when women are at increased risk for breast cancer based on family history, prior personal history, positive genetic testing, or physician recommendation.
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Mandates coverage for magnetic resonance imaging of breasts in accordance with American Cancer Society guidelines for qualifying patients.
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Eliminates all coinsurance, copayments, deductibles, and out-of-pocket expenses for mammograms, ultrasounds, and MRI imaging, except for high deductible health plans which remain subject to deductible limits; effective January 1, 2018.
Legislative Description
An Act Redefining Mammogram And Eliminating Cost-sharing For Mammograms, Breast Ultrasounds And Magnetic Resonance Imaging Of Breasts.
Last Action
Favorable Change of Reference, Senate to Committee on Appropriations
3/16/2017