Texas 2021 - 87th Regular

Texas House Bill HB2909

Caption

Relating to coverage for diagnostic examinations under certain health benefit plans.

Impact

The legislation holds significant implications for healthcare access in Texas, particularly for women undergoing breast cancer screening and diagnosis. By mandating coverage for diagnostic mammograms under the same favorable conditions as screening mammograms, it seeks to mitigate barriers that patients may face in seeking further evaluation after an abnormal result. This could lead to earlier detection of breast cancer and improved outcomes for patients, reducing the long-term healthcare costs associated with late-stage diagnoses.

Summary

House Bill 2909 seeks to amend the Texas Insurance Code to enhance the coverage for diagnostic examinations under health benefit plans. The central focus of this bill is to ensure that health benefit plans that provide coverage for screening mammograms must also provide coverage for diagnostic mammograms. This move aims to create parity in the coverage of these related medical procedures, emphasizing the importance of comprehensive imaging for early detection of breast abnormalities, including cancer.

Contention

However, there may be points of contention surrounding the implementation of this bill, particularly regarding its impact on insurance premiums and the operational mechanics of health plan coverage. Opponents might raise concerns about the potential increase in costs for insurers, which could consequently affect premiums for all policyholders. Additionally, questions may arise regarding the adequacy of reimbursement rates for healthcare providers conducting diagnostic imaging, thereby potentially influencing the availability of these services.

Companion Bills

No companion bills found.

Previously Filed As

TX HB3767

Relating to health benefit coverage for diagnostic examinations for lung cancer.

TX HB1128

Relating to availability of and benefits provided under health benefit plan coverage.

TX HB4912

Relating to availability of and benefits provided under health benefit plan coverage.

TX HB3948

Relating to coverage for childhood screening, diagnosis, and treatment for dyslexia under certain health benefit plans.

TX HB757

Relating to preauthorization of certain benefits by certain health benefit plan issuers.

TX HB1164

Relating to health benefit plan coverage for hair prostheses for breast cancer patients.

TX HB3226

Relating to the development and implementation of the Live Well Texas program to provide health benefit coverage to certain individuals; imposing penalties.

TX HB1026

Relating to health benefit plan coverage for hair prostheses for cancer patients.

TX HB118

Relating to health benefit plan coverage for certain tests to detect prostate cancer.

TX HB526

Relating to HIV and AIDS tests and to health benefit plan coverage of HIV and AIDS tests.

Similar Bills

No similar bills found.