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IL SB0054
Bill
AI Summary
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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.
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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.
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Requires coverage of mammography screening at no cost to the insured and prohibits application to annual or lifetime maximum benefits.
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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.
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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