11 | 9 | | 7 |
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12 | 10 | | For An Act To Be Entitled 8 |
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13 | 11 | | AN ACT TO AMEND THE LAW CONCERNING COVERAGE FOR 9 |
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14 | 12 | | MAMMOGRAMS AND BREAST ULTRASOUNDS; AND FOR OTHER 10 |
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15 | 13 | | PURPOSES. 11 |
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16 | 14 | | 12 |
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17 | 15 | | 13 |
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18 | 16 | | Subtitle 14 |
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19 | 17 | | TO AMEND THE LAW CONCERNING COVERAGE FOR 15 |
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20 | 18 | | MAMMOGRAMS AND BREAST ULTRASOUNDS. 16 |
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21 | 19 | | 17 |
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22 | 20 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 18 |
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23 | 21 | | 19 |
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24 | 22 | | SECTION 1. Arkansas Code § 23 -79-140(a), concerning the definitions 20 |
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25 | 23 | | used for coverage for mammograms and breast ultrasounds, is amended to add an 21 |
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26 | 24 | | additional subdivision to read as follows: 22 |
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27 | 25 | | (11)(A) "Supplemental breast examination" means a medically 23 |
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28 | 26 | | necessary and appropriate examination of the breast, according to National 24 |
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29 | 27 | | Comprehensive Cancer Network Guidelines, that is: 25 |
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30 | 28 | | (i) Used to screen for breast cancer when there is 26 |
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31 | 29 | | no abnormality seen or suspected; and 27 |
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32 | 30 | | (ii) Based on personal or family medical history or 28 |
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33 | 31 | | additional factors that increase the individual's risk of breast cancer, 29 |
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34 | 32 | | including heterogeneously or extremely dense breasts. 30 |
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35 | 33 | | (B) "Supplemental breast examination" includes without 31 |
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36 | 34 | | limitation: 32 |
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37 | 35 | | (i) An examination using contrast -enhanced 33 |
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38 | 36 | | mammography; 34 |
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39 | 37 | | (ii) Breast magnetic resonance imaging; 35 |
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45 | 41 | | (iv) Molecular breast imaging. 1 |
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46 | 42 | | 2 |
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47 | 43 | | SECTION 2. Arkansas Code § 23 -79-140(e)(3), concerning an insured's 3 |
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48 | 44 | | cost-sharing requirements for coverage for diagnostic breast examinations for 4 |
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49 | 45 | | breast cancer, is amended to read as follows: 5 |
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50 | 46 | | (3) A healthcare insurer shall ensure that an individual's cost -6 |
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51 | 47 | | sharing requirement under a health benefit plan that is applicable to a 7 |
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52 | 48 | | provides coverage for diagnostic breast examination for breast cancer, 8 |
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53 | 49 | | including breast magnetic resonance imaging, is no less favorable than the 9 |
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54 | 50 | | cost-sharing requirement that is applicable to a screening examination for 10 |
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