An Act
ENROLLED HOUSE
BILL NO. 3504 By: Provenzano, Bush, Miller,
Ranson, Waldron, Manger,
Luttrell, Baker, Fugate,
Munson, Blancett, West
(Tammy), Roe, Virgin,
Dills, Townley, Roberts
(Sean), Nollan, Bell,
Crosswhite Hader, Pittman,
Brewer, Stark, Hasenbeck,
Goodwin, Conley, McEntire,
Culver, Lawson, Lowe
(Dick), Patzkowsky,
Bashore, and Sneed of the
House
and
Stanley, Taylor, Garvin,
Pederson, Kirt, Floyd,
Hicks, Kidd, Daniels,
Boren, David, and Dossett
(J.A.) of the Senate
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; providing for
contingent effect of provisions based on imp act to
health savings accounts pursuan t to Section 223 of
the Internal Revenue Code; providing for
applicability of provisions related to preventive
care; and providing an effective date.
SUBJECT: Health insurance ENR. H. B. NO. 3504 Page 2
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 clinically appropriate examination, as defined by
current guidelines and as determined by a clinician who is
evaluating the individual for 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 o r family
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:
ENR. H. B. NO. 3504 Page 3
a. the X-ray examination of the breast using equ ipment
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
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.
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 pro visions of this section shall only
apply to health savings accounts with qualified high deductible
health plans with respect to the deductible of such a plan after the ENR. H. B. NO. 3504 Page 4
enrollee has satisfied the minimum deductible. Provided, however,
the provisions of thi s section shall apply to items of services that
are preventive care pursuant to Section 223 (c)(2)(c) of the federal
Internal Revenue Cod e, as amended, regardless of w hether the minimum
deductible has been satisfied.
SECTION 2. This act shall become effective November 1, 2022.
ENR. H. B. NO. 3504 Page 5
Passed the House of Representatives the 16th day of May, 2022.
Presiding Officer of the House
of Representatives
Passed the Senate the 20th day of April, 2022.
Presiding Officer of the Senate
OFFICE OF THE GOVERNOR
Received by the Office of the Governor this ____________________
day of _________________ __, 20_______, at _______ o'clock _______ M.
By: _________________________________
Approved by the Governor of the State of Oklahoma this _____ ____
day of ___________________, 20_______, at _______ o'clock _______ M.
_________________________________
Governor of the State of Oklahoma
OFFICE OF THE SECRETARY OF STATE
Received by the Office of the Secretary of State this __________
day of ___________________, 20_______, at _______ o'clock _______ M.
By: _________________________________