The original instrument and the following digest, which constitutes no part of the
legislative instrument, were prepared by Thomas L. Tyler.
DIGEST
SB 119 Engrossed 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 (DBT preferred modality) and access to
supplemental imaging (MRI preferred modality) 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)Annual mammography (DBT preferred modality) for any woman who is forty years of age
or older.
(a)Consideration given to supplemental imaging, if recommended by her physician, for
women with increased breast density (C and D density).
(b)Access to annual supplemental imaging (MRI preferred modality), if recommended
by her physician, for women with a prior history of breast cancer below the age of
fifty or with a prior history of breast cancer at any age and dense breast (C and D
density). Effective January 1, 2022.
(Amend R.S. 22:1028(A)(2))
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Insurance to the original bill
1. Adds provisions referencing DBT preferred modality and MRI preferred modality.
2. Adds provisions concerning annual mammography for women age 40 or older and
for consideration for supplemental imaging if recommended by physician with
increased breast density (C and D density).
3. Adds provisions for access to annual supplemental imaging if recommended by her
physician, for women with a prior history of breast cancer below the age of 50 or who
have a prior history of breast cancer at any age and dense breast (C and D density).