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IL SB0054

Bill

Status

Passed

8/19/2015

Primary Sponsor

John Mulroe

Click for details

Origin

Senate

99th General Assembly

AI Summary

  • Amends the Illinois Insurance Code to require insurers to cover low-dose mammography screening for women 35 and older, including baseline mammograms for ages 35-39, annual mammograms for age 40+, and mammograms as medically necessary for younger women with risk factors.

  • Expands the definition of "low-dose mammography" to include breast tomosynthesis, defined as a radiologic procedure producing cross-sectional three-dimensional images of the breast.

  • Requires coverage of mammography screening at no cost to the insured and prohibits application to annual or lifetime maximum benefits.

  • Mandates coverage for breast reconstruction, prosthetic devices, and treatment for complications following mastectomy, including lymphedema treatment, with care determined in consultation with the physician and patient.

  • Applies identical mammography and mastectomy coverage requirements to Health Maintenance Organizations and the Illinois Medical Assistance (Medicaid) program.

Legislative Description

INSURANCE-MAMMOGRAMS

Last Action

Public Act . . . . . . . . . 99-0407

8/19/2015

Committee Referrals

Human Services4/20/2015
Rules4/15/2015
Insurance1/28/2015
Assignments1/15/2015

Full Bill Text

No bill text available