The original instrument and the following digest, which constitutes no part of the
legislative instrument, were prepared by Thomas L. Tyler.
DIGEST
SB 119 Original 2021 Regular Session Tarver
Present law requires that health coverage plans which are delivered or issued for delivery in this state
include benefits payable for an annual Pap test and minimum mammography examination.
Present law defines "minimum mammography examination" as mammographic examinations,
including but not limited to digital breast tomosynthesis, performed no less frequently than the
following schedule provides:
(1)One baseline mammogram for any woman who is 35-39 years of age.
(2)One mammogram every 24 months for any woman who is 40-49 years of age, or more
frequently if recommended by her physician.
(3)One mammogram every 12 months for any woman who is 50 years of age or older.
Proposed law retains the schedule and provides for earlier screening based on certain criteria of the
American Society of Breast Surgeons as follows:
(1)(a)Regarding the single baseline mammogram for women 35-39, provides for annual
MRI starting at age 25 and annual mammography starting at age 30, if there is a
hereditary susceptibility from pathogenic mutation carrier status or prior chest wall
radiation.
(b)Provides for annual mammography and access to supplemental imaging starting at
age 35 if recommended by the woman's physician and the woman has a predicted
lifetime risk greater than 20% by any model, a strong family history, or a higher risk
of a diagnosis of breast cancer at an earlier age based on ethnicity or race.
(2)As to one mammogram every 24 months for women age 40-49 or more frequent if
recommended by her doctor or if determined by her doctor, she meets any of the higher risk
criteria provided in proposed law or has increased breast density (C and D) with
consideration given to supplemental imaging.
(3)As to one mammogram every 12 months for women age 50 or older, provides for annual
mammography and access to supplemental imaging for women less than age 50 if there is
a prior history of breast cancer or dense breasts (C and D density).
Effective January 1, 2022. (Amend R.S. 22:1028(A)(2))