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CT SB00883
Bill
Status
2/22/2017
Primary Sponsor
Insurance and Real Estate Committee
Click for details
AI Summary
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Redefines "mammogram" to include mammographic examination or 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 breast tomosynthesis available at patient option
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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, with maximum copayment of $20
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Mandates coverage for breast magnetic resonance imaging per American Cancer Society guidelines, with maximum copayment of $20
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Eliminates all out-of-pocket costs (coinsurance, copayments, deductibles) for mammograms themselves and requires mammography reports include breast density information and patient notification about supplementary screening options
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Effective January 1, 2018
Legislative Description
An Act Redefining Mammogram And Limiting Cost-sharing For Mammograms, Breast Ultrasounds And Magnetic Resonance Imaging Of Breasts.
Last Action
Favorable Report, Tabled for the Calendar, Senate
5/9/2017