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STATE OF OKLAHOMA
2nd Session of the 58th Legislature (2022)
HOUSE BILL 3504 By: Provenzano
AS INTRODUCED
An Act relating to health insurance; amending 36 O.S.
2021, Section 6060, which re lates to mammography
screenings; defining terms; specifying insurance
coverage of certain ma mmograms; and providing an
effective date.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 36 O.S. 2021, Section 6060, is
amended to read as follows :
Section 6060. A. For the purposes of this section ,:
1. "Breast magnetic resonance imagin g" means a diagnostic tool
used to produce detailed pictures of the structure of the breast;
2. "Breast ultrasound" means a noninvasive, dia gnostic imaging
technique that uses high-frequency sound waves to pro duce detailed
images of the breast;
3. "Diagnostic examination for breast cancer" means a medically
necessary and appropr iate examination, as determined by a clinician
who is evaluating the individual f or breast cancer, to evaluate the
abnormality in the breast that is:
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a. seen or suspected from a screening examination for
breast cancer,
b. detected by another means of examination, or
c. suspected based on the medical history of fam ily
medical history of the indi vidual.
This examination may include, but is not limited to, a
diagnostic mammogram, breast magnetic resonance imaging, or a breast
ultrasound;
4. "Diagnostic mammography" means a diagnostic to ol that:
a. uses X-ray, and
b. is designed to evaluate abnormality in a breast;
5. "Health benefit plan" means any plan or arrangement as
defined in subsection C of Section 6060.4 of this title;
2. 6. "Low-dose mammography" means:
a. the x-ray examination of the breast using equipment
specifically dedicated for suc h purpose, with an
average radiation exposure delivery of le ss than one
rad mid-breast and with two views for each breast,
b. digital mammography, or
c. breast tomosynthesis;
3. 7. "Breast tomosynthesis" means a radiologic mammography
procedure involving the acquisition of projection images over a
stationary breast to produce cross-sectional digital three-
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dimensional images of the breast from which breast cancer screening
diagnoses may be made; and
8. "Screening mammography " means a radiologic procedure
provided to a woman, who has no signs or symptoms of breast cancer,
for the purpose of early detection of breast cancer, including
breast tomosynthesis .
B. All health benefit plans shall include the coverage
specified by this section for a low -dose mammography screening and a
diagnostic examination for the presence of occult breast cancer.
Such coverage shall not:
1. Be subject to the policy deductible, co -payments and co-
insurance limits of the plan; or
2. Require that a female undergo a mammography scr eening at a
specified time as a condition of payment.
C. 1. Any female thirty-five (35) through thirty-nine (39)
years of age shall be entitled pursuant to the provisions of this
section to coverage for a low -dose mammography screening once every
five (5) years.
2. Any female forty (40) years of age or older shall be
entitled pursuant to the provisions of this section to coverage for
an annual low-dose mammography screening.
SECTION 2. This act shall become effective November 1, 2022.
58-2-10249 KN 01/19/22