Texas House Bill HB583

Texas 2017 - 85th Regular

• Filed: 12/13/16

Caption

Relating to coverage for supplemental breast cancer screening under certain health benefit plans.

Impact

If enacted, HB583 will impact health insurance providers by requiring them to include supplemental breast cancer screening as a part of their insurance offerings. This means that insurers will need to define criteria under which this supplemental coverage will be offered, as well as the associated costs, such as additional premiums. The legislation extends the obligations of insurers to ensure comprehensive coverage, particularly for women at higher risk for breast cancer, thus potentially improving health outcomes.

Summary

House Bill 583 focuses on improving coverage for supplemental breast cancer screening under certain health benefit plans. The bill mandates that any health benefit plans providing coverage for mammography must also offer coverage for supplemental breast cancer screening, which is particularly important for patients with dense breast tissue or other risk factors that may necessitate additional examinations beyond standard mammography. By incorporating this requirement, the bill aims to enhance early detection of breast cancer through expanded screening options.

Contention

There may be points of contention surrounding the implementation and costs associated with this expanded coverage. Insurance companies might express concerns about the financial implications of mandatory coverage for supplemental screenings, arguing that it could lead to increased premiums across the board. Additionally, discussions may arise regarding the precise criteria that will qualify patients for supplemental screening, and how those determinations are linked to the definitions outlined by medical authorities such as the American College of Radiology.