OK
Oklahoma House Bill HB3504

Oklahoma 2022 Regular Session

Oklahoma House Bill HB3504 Compare Versions

OldNewDifferences
1-An Act
2-ENROLLED HOUSE
1+
2+
3+ENGR. S. A. TO ENGR. H. B. NO. 3504 Page 1 1
4+2
5+3
6+4
7+5
8+6
9+7
10+8
11+9
12+10
13+11
14+12
15+13
16+14
17+15
18+16
19+17
20+18
21+19
22+20
23+21
24+22
25+23
26+24
27+
28+ENGROSSED SENATE AMENDMENTS
29+TO
30+ENGROSSED HOUSE
331 BILL NO. 3504 By: Provenzano, Bush, Miller,
432 Ranson, Waldron, Manger,
533 Luttrell, Baker, Fugate,
6-Munson, Blancett, West
7-(Tammy), Roe, Virgin,
8-Dills, Townley, Roberts
9-(Sean), Nollan, Bell,
10-Crosswhite Hader, Pittman,
11-Brewer, Stark, Hasenbeck,
12-Goodwin, Conley, McEntire,
13-Culver, Lawson, Lowe
14-(Dick), Patzkowsky,
15-Bashore, and Sneed of the
16-House
34+Munson, Blancett, and West
35+(Tammy) of the House
1736
1837 and
1938
2039 Stanley, Taylor, Garvin,
21-Pederson, Kirt, Floyd,
22-Hicks, Kidd, Daniels,
23-Boren, David, and Dossett
24-(J.A.) of the Senate
40+Pederson, and Kirt of the
41+Senate
2542
2643
2744
2845
29-
30-
31-An Act relating to health insurance; amending 36 O.S.
32-2021, Section 6060, which re lates to mammography
33-screenings; defining terms; specifying insurance
34-coverage of certain ma mmograms; providing for
35-contingent effect of provisions based on imp act to
36-health savings accounts pursuan t to Section 223 of
37-the Internal Revenue Code; providing for
38-applicability of provisions related to preventive
39-care; and providing an effective date.
46+[ health insurance - mammography screenings -
47+effective date ]
4048
4149
4250
4351
52+AUTHOR: Add the following House Coauthors: Roe, Virgin, Dills,
53+Townley, Roberts (Sean), Nollan, Bell, Crosswhite H ader,
54+Pittman, Brewer, Sta rk, and Hasenbeck
4455
45-SUBJECT: Health insurance ENR. H. B. NO. 3504 Page 2
56+AUTHOR: Add the following Senate Coauthors: Floyd, Hicks, Kidd,
57+Daniels, Boren, David, and Dossett (J.A .)
58+
59+
60+AMENDMENT NO. 1. Page 1, line 23, insert after the word “and”, and
61+before the word “appropriate”, the word
62+“clinically”
63+
64+AMENDMENT NO. 2. Page 1, line 23, insert after the comma “,”, and
65+before the word “as”, the words “as defined by
66+current guidelines and ”
67+
68+AMENDMENT NO. 3. Page 3, lines 9 and 10, delete all new language
69+
70+AMENDMENT NO. 4. Page 3, line 10, insert after the word “cancer”,
71+and before the period “.”, the words “and a
72+diagnostic examination for breast cancer ”
73+
74+ENGR. S. A. TO ENGR. H. B. NO. 3504 Page 2 1
75+2
76+3
77+4
78+5
79+6
80+7
81+8
82+9
83+10
84+11
85+12
86+13
87+14
88+15
89+16
90+17
91+18
92+19
93+20
94+21
95+22
96+23
97+24
98+
99+
100+AMENDMENT NO. 5. Page 3, line 22 1/2, insert a new subsection D to
101+read as follows:
102+
103+“D. If application of this act would resu lt in health savings
104+account ineligibility under Section 223 of the Federal I nternal
105+Revenue Code, as amend ed, the provisions of this section shall only
106+apply to health savings accounts with quali fied high deductible
107+health plans with re spect to the deductible of such a plan after the
108+enrollee has satisfied the minimum deductible. Provided, however,
109+the provisions of this section shall apply to items or services that
110+are preventive care pursuant to Section 223 (c) (2) (c) of the
111+Federal Internal Revenue Code, as amended, regardless of whether the
112+minimum deductible has been satisfie d.”
113+
114+and when the title is restored, amend the title to
115+conform
116+
117+
118+AMENDMENT NO. 6. Page 1, restore the amended title an d the enacting
119+clause
120+
121+
122+
123+ENGR. S. A. TO ENGR. H. B. NO. 3504 Page 3 1
124+2
125+3
126+4
127+5
128+6
129+7
130+8
131+9
132+10
133+11
134+12
135+13
136+14
137+15
138+16
139+17
140+18
141+19
142+20
143+21
144+22
145+23
146+24
147+
148+Passed the Senate the 20th day of April, 2022.
149+
150+
151+
152+ Presiding Officer of the Senate
153+
154+
155+Passed the House of Represe ntatives the ____ day of __________,
156+2022.
157+
158+
159+
160+ Presiding Officer of the House
161+ of Representatives
162+
163+ENGR. H. B. NO. 3504 Page 1 1
164+2
165+3
166+4
167+5
168+6
169+7
170+8
171+9
172+10
173+11
174+12
175+13
176+14
177+15
178+16
179+17
180+18
181+19
182+20
183+21
184+22
185+23
186+24
187+
188+ENGROSSED HOUSE
189+BILL NO. 3504 By: Provenzano, Bush, Miller,
190+Ranson, Waldron, Manger,
191+Luttrell, Baker, Fugate,
192+Munson, Blancett, and West
193+(Tammy) of the House
194+
195+ and
196+
197+ Stanley, Taylor, Garvin,
198+Pederson, and Kirt of the
199+Senate
200+
201+
202+
203+
204+[ health insurance - mammography screenings -
205+effective date ]
206+
207+
208+
46209
47210 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
48-
49211 SECTION 1. AMENDATORY 36 O.S. 2021, Section 6060, is
50212 amended to read as follows :
51-
52213 Section 6060. A. For the purposes of this section ,:
53-
54214 1. "Breast magnetic resonance imagin g" means a diagnostic tool
55215 used to produce detailed pictures of the structure of the breast;
56-
57216 2. "Breast ultrasound" means a noninvasive, dia gnostic imaging
58217 technique that uses high-frequency sound waves to pro duce detailed
59218 images of the breast;
219+3. "Diagnostic examination for breast cancer" means a medically
220+necessary and appropr iate examination, as determined by a clinician
60221
61-3. "Diagnostic examination for breast cancer" means a medically
62-necessary and clinically appropriate examination, as defined by
63-current guidelines and as determined by a clinician who is
64-evaluating the individual for breast cancer, to evaluate the
222+ENGR. H. B. NO. 3504 Page 2 1
223+2
224+3
225+4
226+5
227+6
228+7
229+8
230+9
231+10
232+11
233+12
234+13
235+14
236+15
237+16
238+17
239+18
240+19
241+20
242+21
243+22
244+23
245+24
246+
247+who is evaluating the individual f or breast cancer, to evaluate the
65248 abnormality in the breast that is:
66-
67249 a. seen or suspected from a screening examination for
68250 breast cancer,
69-
70251 b. detected by another means of examination, or
71-
72-c. suspected based on the medical history o r family
252+c. suspected based on the medica l history of family
73253 medical history of the indi vidual.
74-
75254 This examination may include, but is not limited to, a
76255 diagnostic mammogram, breast magnetic resonance imaging, or a breast
77256 ultrasound;
78-
79257 4. "Diagnostic mammography" means a diagnostic to ol that:
80-
81258 a. uses X-ray, and
82-
83259 b. is designed to evaluate abnormality in a breast;
84-
85260 5. "Health benefit plan" means any plan or arrangement as
86261 defined in subsection C of Section 6060.4 of this title;
87-
88262 2. 6. "Low-dose mammography" means:
89- ENR. H. B. NO. 3504 Page 3
90263 a. the X-ray examination of the breast using equipment
91264 specifically dedicated for suc h purpose, with an
92265 average radiation exposure deliver y of less than one
93266 rad mid-breast and with two views for each breast,
94-
95267 b. digital mammography, or
96-
97268 c. breast tomosynthesis;
98-
99269 3. 7. "Breast tomosynthesis" means a radiologic mammography
100270 procedure involving the acquisition of projection images over a
271+
272+ENGR. H. B. NO. 3504 Page 3 1
273+2
274+3
275+4
276+5
277+6
278+7
279+8
280+9
281+10
282+11
283+12
284+13
285+14
286+15
287+16
288+17
289+18
290+19
291+20
292+21
293+22
294+23
295+24
296+
101297 stationary breast to produce cross-sectional digital three-
102298 dimensional images of the breast from which breast cancer screening
103299 diagnoses may be made; and
104-
105300 8. "Screening mammography" means a radiologic procedure
106301 provided to a woman, who has no signs or symptoms of b reast cancer,
107302 for the purpose of early detection of breast cancer, including
108303 breast tomosynthesis .
109-
110304 B. All health benefit plans shall include the coverage
111-specified by this section for a low -dose mammography screening for
112-the presence of occult breast cancer and a diagnostic examination
113-for breast cancer. Such coverage shall not:
114-
305+specified by this section for a low -dose mammography screening and a
306+diagnostic examination for the presence of occult breast cancer.
307+Such coverage shall not:
115308 1. Be subject to the policy deductible, co -payments and co-
116309 insurance limits of the plan; or
117-
118310 2. Require that a female undergo a mammography scr eening at a
119311 specified time as a condition of payment.
120-
121312 C. 1. Any female thirty-five (35) through thirty-nine (39)
122313 years of age shall be entitled pursuant to the provisions of this
123314 section to coverage for a lo w-dose mammography screening once every
124315 five (5) years.
125-
126316 2. Any female forty (40) years of age or ol der shall be
127317 entitled pursuant to the provisions of this section to coverage for
128318 an annual low-dose mammography screening.
319+SECTION 2. This act shall become effective November 1, 2022.
129320
130-D. If application of this act would result in health savings
131-account ineligibility under Section 223 of the federal Internal
132-Revenue Code, as amended, the pro visions of this section shall only
133-apply to health savings accounts with qualified high deductible
134-health plans with respect to the deductible of such a plan after the ENR. H. B. NO. 3504 Page 4
135-enrollee has satisfied the minimum deductible. Provided, however,
136-the provisions of thi s section shall apply to items of services that
137-are preventive care pursuant to Section 223 (c)(2)(c) of the federal
138-Internal Revenue Cod e, as amended, regardless of w hether the minimum
139-deductible has been satisfied.
321+ENGR. H. B. NO. 3504 Page 4 1
322+2
323+3
324+4
325+5
326+6
327+7
328+8
329+9
330+10
331+11
332+12
333+13
334+14
335+15
336+16
337+17
338+18
339+19
340+20
341+21
342+22
343+23
344+24
140345
141-SECTION 2. This act shall become effective November 1, 2022.
142- ENR. H. B. NO. 3504 Page 5
143-Passed the House of Representatives the 16th day of May, 2022.
346+Passed the House of Representatives the 8th day of March, 2022.
144347
145348
146349
147350
148351 Presiding Officer of the House
149352 of Representatives
150353
151354
152-Passed the Senate the 20th day of April, 2022.
355+Passed the Senate the ___ day of __________, 2022.
153356
154357
155358
156359
157360 Presiding Officer of the Senate
158361
159362
160363
161-OFFICE OF THE GOVERNOR
162-Received by the Office of the Governor this ____________________
163-day of _________________ __, 20_______, at _______ o'clock _______ M.
164-By: _________________________________
165-Approved by the Governor of the State of Oklahoma this _____ ____
166-day of ___________________, 20_______, at _______ o'clock _______ M.
167-
168-
169- _________________________________
170- Governor of the State of Oklahoma
171-
172-OFFICE OF THE SECRETARY OF STATE
173-Received by the Office of the Secretary of State this __________
174-day of ___________________, 20_______, at _______ o'clock _______ M.
175-By: _________________________________