Massachusetts 2023-2024 Regular Session

Massachusetts Senate Bill S674

Introduced
2/16/23  
Refer
2/16/23  

Caption

Relative to breast cancer screening and early detection

Impact

If enacted, Bill S674 will amend several chapters of the General Laws to require insurance providers, including both private and Medicaid insurers, to expand their coverage for breast cancer diagnostic and screening services. This drive towards comprehensive coverage will not only ensure access to crucial health services for women, but it will also help reduce disparities in care, particularly for those on Medicaid or in lower income brackets. With the removal of preauthorization requirements for annual breast cancer screenings, patients can receive timely and necessary diagnostic imaging without administrative delays or additional costs.

Summary

Bill S674, known as 'An Act relative to breast cancer screening and early detection,' aims to improve insurance coverage for breast cancer-related medical necessities. The bill mandates coverage for diagnostic examinations related to breast cancer, including digital breast tomosynthesis and breast magnetic resonance imaging, on terms that are no less favorable than those devised for standard screening mammograms. The legislation endeavors to eliminate patient financial burdens by preventing any increases in cost-sharing for these essential screening methods, thereby promoting early detection and potentially lifesaving interventions.

Contention

While the bill has significant support due to its focus on women's health and preventive care, there may be contention surrounding potential costs to insurance providers and the state budget, particularly concerning the Medicaid provisions. Critics may argue that mandating such coverage increases financial strains on state-run health plans. Moreover, the debate might revolve around how these provisions could affect insurance premiums and the broader implications for healthcare funding. However, proponents may counter that the long-term benefits of early detection and treatment far outweigh the initial costs involved.

Companion Bills

MA H1115

Similar To Relative to the diagnosis and treatment of breast cancer

MA H4410

Replaced by Relative to breast cancer equity and early detection

Similar Bills

MA H938

Relative to breast cancer screening and early detection

MA H4410

Relative to breast cancer equity and early detection

MA H4918

Relative to medically necessary breast screenings and exams for equity and early detection

MA S2971

Site Information & Links

MA H1103

Relative to breast cancer equity and early detection

MA S711

Relative to breast cancer equity and early detection

MA H1115

Relative to the diagnosis and treatment of breast cancer

NY A08505

Requires health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with heterogeneously dense or extremely dense breasts.