SB 841 - This act modifies an insurance mandate relating to breast cancer screening and evaluation. In addition to existing coverage requirements, the act adds "detectors" to the X-ray equipment specifically listed as being covered under the mandate.
The act also specifies that coverage for certain breast cancer screening and evaluation services shall be provided to any woman deemed by her physician to have an above-average risk for breast cancer in accordance with American College of Radiology (ACR) guidelines, rather than specifically to women with a personal or family history of breast cancer.
The act also requires coverage of any additional or supplemental imaging, such as breast MRI or ultrasound, deemed medically necessary by a treating physician for proper screening or evaluation in accordance with applicable ACR guidelines. Furthermore, the act requires coverage of ultrasound or MRI services when determined by a treating physician to be medically necessary for the screening or evaluation of breast cancer for any woman deemed by the treating physician to have an above-average risk of breast cancer in accordance with ACR guidelines for breast cancer screening.
Lastly, provisions relating to out-of-pocket expenditures are modified to apply to the additional modalities required to be covered under the act.
These provisions are identical to provisions in the truly agreed to and finally passed CCS/HCS/SB 551 (2020), provisions in the truly agreed to and finally passed SS/SCS/HCS/HB 1682 (2020), and HB 2468 (2020).
ERIC VANDER WEERD