Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H1043

Introduced
2/16/23  
Refer
2/16/23  

Caption

Relative to breast cancer equity and early detection

Impact

If enacted, HB 1043 will significantly amend existing regulations in multiple chapters of the Massachusetts General Laws, including Chapter 32A and Chapter 175. These amendments aim to standardize and improve health coverage related to breast cancer detection and treatment. The bill's provisions ensure that both active and retired state employees, as well as individuals covered by health plans within the Commonwealth, have guaranteed access to necessary diagnostic services without facing prohibitive costs. This move is intended to promote early detection and treatment of breast cancer, which is crucial for improving patient outcomes.

Summary

House Bill 1043, titled 'An Act relative to breast cancer equity and early detection', aims to enhance healthcare coverage for breast cancer screening and diagnostic procedures across Massachusetts. This bill mandates that health insurance policies must cover diagnostic examinations for breast cancer on a basis that is not less favorable than the coverage provided for screening mammograms. Notably, this includes various methods of imaging such as diagnostic mammography, breast MRI, and breast ultrasound. The legislation seeks to ensure that patients do not face increased cost-sharing for these essential services, thus making them more accessible.

Contention

While there may be broad support for increasing access to breast cancer diagnostic services, potential contention could arise around the implications for insurance providers regarding covered services and financial responsibilities. Concerns may also be raised about the economic impact on insurers if they are not allowed to adjust patient cost-sharing mechanisms. Additionally, there may be discussions on how this bill fits within the broader context of health care equity in the state, particularly concerning the coverage disparities that exist among different populations and health plans.

Companion Bills

MA S711

Similar To Relative to breast cancer equity and early detection

MA H4854

Replaced by Study Order

Similar Bills

DE HB60

An Act To Amend Titles 18, 29, And 31 Relating To Breast Cancer Screening And Diagnostic Procedures.

ME LD1836

An Act Regarding Insurance Coverage for Diagnostic and Supplemental Breast Examinations

MA S674

Relative to breast cancer screening and early detection

MA H938

Relative to breast cancer screening and early detection

NJ A4093

Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.

NJ A1679

Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.

NJ S1330

"Michelle's Law"; requires health benefit plans to cover mammogram for an individual if recommended by health care provider.

NJ A3053

"Michelle's Law"; requires health benefit plans to cover mammogram for an individual if recommended by health care provider.