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SENATE FLOOR VERSION
April 13, 2022
AS AMENDED
ENGROSSED HOUSE
BILL NO. 3504 By: Provenzano, Bush, Miller,
Ranson, Waldron, Manger,
Luttrell, Baker, Fugate,
Munson, Blancett, West
(Tammy), Roe, Virgin, and
Dills of the House
and
Stanley, Taylor, Garvin,
Pederson, Kirt, Floyd,
Hicks, Kidd, Daniels,
Boren, David, and Dossett
(J.A.) of the Senate
[ health insurance - mammography screenings -
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;
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3. "Diagnostic examination for breast cancer" means a medically
necessary and clinically appropriate examination, as defined by
current guidelines and as determined by a clinician who is
evaluating the individual f or breast cancer, to evaluate the
abnormality in the breast that is:
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 deliver y of less than one
rad mid-breast and with two views for each breast,
b. digital mammography, or
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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-
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 b reast 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 for
the presence of occult breast cancer and a diagnostic examination
for 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.
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2. Any female forty (40) years of age or ol der shall be
entitled pursuant to the provisions of this section to coverage for
an annual low-dose mammography screening.
D. If application of this act would result in health savings
account ineligibility under Section 223 of the Federal Internal
Revenue Code, as amended, the provisions of this sectio n shall only
apply to health savings accounts with qualified high deductible
health plans with respect to the deductible of such a plan after the
enrollee has satisfied the minimum deductible. Provided, however,
the provisions of this section shall apply to items or services that
are preventive care pursuant to Section 223 (c)(2)(c) of the Federal
Internal Revenue Code, as amended, regardless of whether the minimum
deductible has been satisfied.
SECTION 2. This act shall become effective November 1, 2022.
COMMITTEE REPORT BY: COMMITTEE ON APPROPRIATIONS
April 13, 2022 - DO PASS AS AMENDED