Relative to breast cancer equity and early detection
Impact
The enactment of S711 is expected to solidify patient protections against increased cost-sharing for crucial health examinations related to breast cancer. By requiring that diagnostic examinations are offered on at least the same terms as screening mammograms, the bill seeks to promote equitable access to essential breast health services, thereby directly impacting the state's health laws relating to insurance coverage. This change aims to alleviate financial barriers that patients may face when seeking essential diagnostic tests, leading to potentially earlier detection of breast cancer.
Summary
Bill S711, titled 'An Act relative to breast cancer equity and early detection', aims to enhance the coverage provided for breast cancer diagnostics under various health insurance policies in Massachusetts. The bill mandates that any health maintenance contract that includes coverage for screening mammograms must also provide coverage for diagnostic examinations for breast cancer and digital breast tomosynthesis. This provision ensures that individuals can access necessary follow-up examinations without facing additional out-of-pocket costs, fostering better health outcomes through early intervention.
Contention
One of the notable points of contention surrounding the bill revolves around concerns from insurers about the financial implications of its mandates. Critics argue that the requirements could lead to increased premiums for policyholders as insurers adjust to ensure compliance with the new coverage rules. Additionally, while health equity proponents advocate for these changes, some legislators are concerned about the broader implications for insurance models and possible unintended consequences that may arise from the new regulations.
Requires health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with heterogeneously dense or extremely dense breasts.