85R5639 PMO-D
By: Thompson of Harris H.B. No. 1036
A BILL TO BE ENTITLED
AN ACT
relating to coverage for certain breast cancer screening procedures
under certain health benefit plans.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. The heading to Chapter 1356, Insurance Code, is
amended to read as follows:
CHAPTER 1356. [LOW-DOSE] MAMMOGRAPHY
SECTION 2. Section 1356.001, Insurance Code, is amended to
read as follows:
Sec. 1356.001. DEFINITIONS [DEFINITION]. In this chapter:
(1) "Breast tomosynthesis" means a radiologic
procedure that involves the acquisition of projection images over a
stationary breast to produce cross-sectional digital
three-dimensional images of the breast.
(2) "Low-dose[, "low-dose] mammography" means the
x-ray examination of the breast using equipment dedicated
specifically for mammography, including an x-ray tube, filter,
compression device, and screens, [films, and cassettes,] with an
average radiation exposure delivery of less than one rad
mid-breast, with two views for each breast, digital mammography, or
breast tomosynthesis.
SECTION 3. Section 1356.005(a), Insurance Code, is amended
to read as follows:
(a) A health benefit plan that provides coverage to a female
who is 35 years of age or older must include coverage for an annual
screening by all forms of low-dose mammography for the presence of
occult breast cancer.
SECTION 4. Sections 1356.001 and 1356.005, Insurance Code,
as amended by this Act, apply only to a health benefit plan that is
delivered, issued for delivery, or renewed on or after January 1,
2018. A plan delivered, issued for delivery, or renewed before
January 1, 2018, is governed by the law as it existed immediately
before the effective date of this Act, and that law is continued in
effect for that purpose.
SECTION 5. This Act takes effect September 1, 2017.