An Act Concerning Health Insurance Coverage For A Second Mammogram.
If enacted, SB00163 would affect state laws governing health insurance coverage, particularly those relating to preventive services and mammography. By obligating insurers to cover additional examinations based on medical necessity, the legislation seeks to address disparities in access to follow-up care for women with certain breast tissue characteristics, consequently aiming to improve early detection rates for breast cancer.
SB00163, known as An Act Concerning Health Insurance Coverage For A Second Mammogram, aims to enhance the care received by women who may have dense breast tissue. The bill proposes that health insurance policies mandate coverage for a second mammogram within the same policy year if the initial mammogram indicates the presence of heterogeneous or dense breast tissue and a physician recommends the follow-up screening. This measure is designed to ensure that individuals are not financially burdened when seeking potentially critical follow-up care.
There may be points of contention surrounding the implementation of this bill, specifically regarding insurance cost implications for providers and potential increases in insurance premiums. While advocates argue that covering a second mammogram is a necessary preventive measure to improve women's health outcomes, opponents could raise concerns about the financial feasibility for insurance companies and the broader economic impact on insurance markets.