HB 7124 — AN ACT CONCERNING REQUIRED HEALTH INSURANCE COVERAGE FOR MAMMOGRAMS AND BREAST ULTRASOUNDS.

General Assembly SubstituteRaised Bill No.

7124 January Session, 2019 ANLCO ACTNo. CONCERNING REQUIRED HEALTH INSURANCE COVERAGE FOR MAMMOGRAMS AND BREAST ULTRASOUNDS.

4014 Referred to Committee on INSURANCE AND REAL ESTATE Introduced by:

(INS) AN ACT CONCERNING REQUIRED HEALTH INSURANCE COVERAGE FOR MAMMOGRAMS AND BREAST ULTRASOUNDS.

(A) A baseline mammogram, which may be provided by breast tomosynthesis at the option of the woman covered under the policy, for any woman who is thirty-five[thirty-five to thirty- ninenine] thirty years of age,age inclusive;[, inclusive] or older;

and (B) if recommended by such woman's treating physician, a mammogram, which may be provided by breast tomosynthesis at the option of the woman covered under the policy, every year for any woman who (i) is forty[forty] yearsthirty ofLCO ageNo. or older.

4014 1 of 4 Raised Bill No.7124 years of age or older, (ii) has a family history or prior personal history of breast cancer, or (iii) has a prior personal history of breast disease diagnosed through biopsy as benign.

[a] (i) A mammogram demonstrates heterogeneous or dense LCObreast \\PRDFS1\HCOUSERS\BARRYJN\WS\2019HB-07124-R011tissue ofbased 3on HB.docxthe SubstituteBreast BillImaging No.Reporting and Data System established by the American College of Radiology;

7124 breast tissue based on the Breast Imaging Reporting and Data System established by the American College of Radiology;

or (iii) such screening is recommended by a woman's treating physician for a woman who (I) is fortythirty years of age or older, (II) has a family history or prior personal history of breast cancer, or (III) has a prior personal history of breast disease diagnosed through biopsy as benign;

(A) A baseline mammogram, which may be provided by breast tomosynthesis at the option of the woman covered under the policy, for any woman who is thirty-five[thirty-five to thirty-ninethirty-nine] thirty years of age,age inclusive;[, inclusive] or older;

and (B) aif mammogram,recommended which may be provided by breastsuch tomosynthesiswoman's attreating thephysician, optiona ofmammogram, thewhich womanmay coveredbe underLCO theNo. policy, every year for any woman who is forty years of age or older.

4014 2 of 4 Raised Bill No.7124 provided by breast tomosynthesis at the option of the woman covered under the policy, every year for any woman who (i) is [forty] thirty years of age or older, (ii) has a family history or prior personal history of breast cancer, or (iii) has a prior personal history of breast disease diagnosed through biopsy as benign.

[a] (i) A mammogram demonstrates heterogeneous or dense breast tissue based on the Breast Imaging Reporting and Data System LCOestablished {\\PRDFS1\HCOUSERS\BARRYJN\WS\2019HB-071242by ofthe 3American R01-HB.docxCollege }of SubstituteRadiology; Bill No.

7124 established by the American College of Radiology;

or (iii) such screening is recommended by a woman's treating physician for a woman who (I) is fortythirty years of age or older, (II) has a family history or prior personal history of breast cancer, or (III) has a prior personal history of breast disease diagnosed through biopsy as benign;

2 January 1, 2020 38a-530(b) INSStatement Jointof FavorablePurpose: Subst.

LCOTo {\\PRDFS1\HCOUSERS\BARRYJN\WS\2019HB-07124-require 3health insurance coverage for (1) a baseline mammogram for any woman who is thirty years of 3age R01-HB.docxor }older, (2) an annual mammogram for any woman who receives a recommendation from such woman's treating physician and (A) is thirty years of age or older, (B) has a family history or prior personal history of breast cancer, or (C) has a prior personal history of breast disease diagnosed through LCO No.

4014 3 of 4 Raised Bill No.

7124 biopsy as benign, and (3) comprehensive breast ultrasound screening for any woman who receives a recommendation from such woman's treating physician and (A) is thirty years of age or older, (B) has a family history or prior personal history of breast cancer, or (C) has a prior personal history of breast disease diagnosed through biopsy as benign.

[Proposed deletions are enclosed in brackets.

Proposed additions are indicated by underline, not underlined.] the entire text of a bill or resolution or a section of a bill or resolution is new, it is LCO No.

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