Connecticut Senate Bill SB00315

Connecticut 2011 Regular Session

• Introduced: 1/20/11
• Refer: 1/20/11

Caption

An Act Requiring Insurance Coverage For Breast Magnetic Resonance Imaging.

Impact

The enactment of SB00315 would lead to a significant modification in insurance policies related to women's healthcare, particularly in the diagnostics of breast cancer. By mandating coverage for breast MRIs under specified conditions, the bill aims to enhance early detection and treatment options for women at higher risk of developing breast cancer. This could potentially improve overall health outcomes and reduce the economic burden on affected individuals who may otherwise face high costs for these necessary procedures.

Summary

SB00315 is a proposed legislative act aimed at ensuring that insurance providers cover breast magnetic resonance imaging (MRI) for specific cases. The bill identifies scenarios in which women would qualify for coverage, particularly when annual mammograms indicate heterogeneous or dense breast tissue, or if there is a personal or family history of breast cancer. Additionally, it allows for other indications determined by a qualified physician or advanced practice registered nurse.

Contention

Despite its potential benefits, SB00315 may face opposition from insurance providers concerned about the increased costs associated with expanded coverage. There could also be debates surrounding the criteria outlined in the bill for determining eligibility for MRI coverage. Some stakeholders may argue that the definition of 'dense breast tissue' or the qualifications for increased risk could lead to inconsistencies in how coverage is applied, creating potential discrepancies in patient care depending on the provider's interpretation of the bill's terms.