H.B. No. 170
AN ACT
relating to coverage for mammography under certain health benefit
plans.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 1356.001, Insurance Code, is amended by
adding Subdivision (1-a) to read as follows:
(1-a) "Diagnostic mammogram" means an imaging
examination designed to evaluate:
(A) a subjective or objective abnormality
detected by a physician in a breast;
(B) an abnormality seen by a physician on a
screening mammogram;
(C) an abnormality previously identified by a
physician as probably benign in a breast for which follow-up
imaging is recommended by a physician; or
(D) an individual with a personal history of
breast cancer.
SECTION 2. Section 1356.002, Insurance Code, is amended by
amending Subsection (g) and adding Subsection (i) to read as
follows:
(g) Notwithstanding any provision in Chapter 1551, 1575,
1579, or 1601 or any other law, this chapter applies to:
(1) a basic coverage plan under Chapter 1551;
(2) a basic plan under Chapter 1575;
(3) a primary care coverage plan under Chapter 1579;
and
(4) basic coverage under Chapter 1601.
(i) To the extent allowed by federal law, this chapter
applies to:
(1) the state Medicaid program operated under Chapter
32, Human Resources Code; and
(2) a Medicaid managed care program operated under
Chapter 533, Government Code.
SECTION 3. Section 1356.005, Insurance Code, is amended by
adding Subsection (a-1) to read as follows:
(a-1) A health benefit plan that provides coverage for a
screening mammogram must provide coverage for a diagnostic
mammogram that is no less favorable than the coverage for a
screening mammogram.
SECTION 4. Section 1356.0021, Insurance Code, is repealed.
SECTION 5. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 6. This Act applies only to a health benefit plan
that is delivered, issued for delivery, or renewed on or after
January 1, 2020. A health benefit plan that is delivered, issued
for delivery, or renewed before January 1, 2020, 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 7. This Act takes effect September 1, 2019.
______________________________ ______________________________
President of the Senate Speaker of the House
I certify that H.B. No. 170 was passed by the House on May 3,
2019, by the following vote: Yeas 124, Nays 16, 2 present, not
voting; and that the House concurred in Senate amendments to H.B.
No. 170 on May 24, 2019, by the following vote: Yeas 128, Nays 13,
2 present, not voting.
______________________________
Chief Clerk of the House
I certify that H.B. No. 170 was passed by the Senate, with
amendments, on May 22, 2019, by the following vote: Yeas 26, Nays
5.
______________________________
Secretary of the Senate
APPROVED: __________________
Date
__________________
Governor