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| 2 | 2 | | HB0285a -1- HB 285 |
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| 3 | 3 | | New Text Underlined [DELETED TEXT BRACKETED] |
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| 4 | 4 | | |
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| 5 | 5 | | 33-LS1030\B |
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| 11 | 11 | | HOUSE BILL NO. 285 |
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| 12 | 12 | | |
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| 13 | 13 | | IN THE LEGISLATURE OF THE STATE OF ALASKA |
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| 14 | 14 | | |
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| 15 | 15 | | THIRTY-THIRD LEGISLATURE - SECOND SESSION |
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| 16 | 16 | | |
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| 17 | 17 | | BY REPRESENTATIVE FIELDS |
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| 18 | 18 | | |
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| 19 | 19 | | Introduced: 1/22/24 |
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| 20 | 20 | | Referred: Health and Social Services, Finance |
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| 21 | 21 | | |
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| 22 | 22 | | |
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| 23 | 23 | | A BILL |
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| 24 | 24 | | |
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| 25 | 25 | | FOR AN ACT ENTITLED |
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| 26 | 26 | | |
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| 27 | 27 | | "An Act relating to insurance; relating to mammograms; and providing for an effective 1 |
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| 28 | 28 | | date." 2 |
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| 29 | 29 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 3 |
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| 30 | 30 | | * Section 1. AS 21.42.375(e) is amended to read: 4 |
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| 31 | 31 | | (e) In this section, 5 |
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| 32 | 32 | | (1) "diagnostic breast examination" means an examination of the |
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| 33 | 33 | | 6 |
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| 34 | 34 | | breast using contrast-enhanced mammography, diagnostic mammography, 7 |
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| 35 | 35 | | breast magnetic resonance imaging, breast ultrasound, or other equipment 8 |
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| 36 | 36 | | dedicated specifically for mammography conducted to evaluate an abnormality 9 |
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| 37 | 37 | | (A) detected or suspected in a screening examination for 10 |
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| 38 | 38 | | breast cancer; or 11 |
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| 39 | 39 | | (B) detected by another means of examination; 12 |
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| 40 | 40 | | (2) "low-dose mammography screening" and "mammogram" mean the 13 |
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| 41 | 41 | | X-ray examination of the breast using equipment dedicated specifically for 14 33-LS1030\B |
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| 42 | 42 | | HB 285 -2- HB0285a |
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| 43 | 43 | | New Text Underlined [DELETED TEXT BRACKETED] |
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| 44 | 44 | | |
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| 45 | 45 | | mammography, including the X-ray tube, filter, compression device, screens, films, 1 |
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| 46 | 46 | | and cassettes, with an average radiation exposure delivery of less than one rad mid-2 |
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| 47 | 47 | | breast, with two views for each breast; 3 |
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| 48 | 48 | | (3) "supplemental breast examination" means an examination of 4 |
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| 49 | 49 | | the breast using contrast-enhanced mammography, diagnostic mammography, 5 |
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| 50 | 50 | | breast magnetic resonance imaging, breast ultrasound, or other equipment 6 |
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| 51 | 51 | | dedicated specifically for mammography conducted based on 7 |
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| 52 | 52 | | (A) the insured's personal or family medical history of 8 |
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| 53 | 53 | | breast cancer; or 9 |
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| 54 | 54 | | (B) other factors that may increase the insured's risk of 10 |
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| 55 | 55 | | breast cancer. 11 |
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| 56 | 56 | | * Sec. 2. AS 21.42.375 is amended by adding a new subsection to read: 12 |
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| 57 | 57 | | (f) Except as necessary to qualify a plan as a high deductible health plan 13 |
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| 58 | 58 | | eligible for a health savings account tax deduction under 26 U.S.C. 223 (Internal 14 |
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| 59 | 59 | | Revenue Code), a health care insurer that offers, issues, delivers, or renews a health 15 |
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| 60 | 60 | | care insurance plan in the individual or group market in the state that provides 16 |
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| 61 | 61 | | coverage for mammography screening, diagnostic breast examinations, and 17 |
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| 62 | 62 | | supplemental breast examinations may not impose cost sharing, a deductible, 18 |
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| 63 | 63 | | coinsurance, a copayment obligation, or another similar out-of-pocket expense on an 19 |
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| 64 | 64 | | insured for coverage of a low-dose mammography screening, diagnostic breast 20 |
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| 65 | 65 | | examination, or supplemental breast examination. 21 |
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| 66 | 66 | | * Sec. 3. The uncodified law of the State of Alaska is amended by adding a new section to 22 |
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| 67 | 67 | | read: 23 |
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| 68 | 68 | | APPLICABILITY. AS 21.42.375(e), as amended by sec. 1 of this Act, and 24 |
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| 69 | 69 | | AS 21.42.375(f), added by sec. 2 of this Act, apply to an insurance policy or contract issued, 25 |
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| 70 | 70 | | delivered, or renewed on or after the effective date of secs. 1 and 2 of this Act. 26 |
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| 71 | 71 | | * Sec. 4. The uncodified law of the State of Alaska is amended by adding a new section to 27 |
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| 72 | 72 | | read: 28 |
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| 73 | 73 | | TRANSITION: REGULATIONS. The director of the division of insurance may adopt 29 |
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| 74 | 74 | | regulations necessary to implement this Act. The regulations take effect under AS 44.62 30 |
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| 75 | 75 | | (Administrative Procedure Act), but not before the effective date of the law implemented by 31 33-LS1030\B |
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| 76 | 76 | | HB0285a -3- HB 285 |
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| 77 | 77 | | New Text Underlined [DELETED TEXT BRACKETED] |
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| 78 | 78 | | |
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| 79 | 79 | | the regulation. 1 |
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| 80 | 80 | | * Sec. 5. Section 4 of this Act takes effect immediately under AS 01.10.070(c). 2 |
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| 81 | 81 | | * Sec. 6. Except as provided in sec. 5 of this Act, this Act takes effect January 1, 2025. 3 |
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