Bill Text: FL H0025 | 2011 | Regular Session | Introduced


Bill Title: Mammogram Reports

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2011-05-07 - Indefinitely postponed and withdrawn from consideration [H0025 Detail]

Download: Florida-2011-H0025-Introduced.html
HB 25

1
A bill to be entitled
2An act relating to mammogram reports; amending ss.
3627.6418, 627.6613, and 641.31095, F.S.; requiring that
4all mammography reports include information and a notice
5about breast density; providing an effective date.
6
7Be It Enacted by the Legislature of the State of Florida:
8
9     Section 1.  Section 627.6418, Florida Statutes, is amended
10to read:
11     627.6418  Coverage for mammograms.-
12     (1)  An accident or health insurance policy issued,
13amended, delivered, or renewed in this state must provide
14coverage for at least the following:
15     (a)  A baseline mammogram for any woman who is 35 years of
16age or older, but younger than 40 years of age.
17     (b)  A mammogram every 2 years for any woman who is 40
18years of age or older, but younger than 50 years of age, or more
19frequently based on the patient's physician's recommendation.
20     (c)  A mammogram every year for any woman who is 50 years
21of age or older.
22     (d)  One or more mammograms a year, based upon a
23physician's recommendation, for any woman who is at risk for
24breast cancer because of a personal or family history of breast
25cancer, because of having a history of biopsy-proven benign
26breast disease, because of having a mother, sister, or daughter
27who has or has had breast cancer, or because a woman has not
28given birth before the age of 30.
29     (2)  Each mammography report provided to a patient shall
30include information about breast density based on the Breast
31Imaging Reporting and Data System established by the American
32College of Radiology. Where applicable, such report shall
33include the following notice: "If your mammogram demonstrates
34that you have dense breast tissue, which could hide small
35abnormalities, you might benefit from supplementary screening
36tests, including a breast ultrasound screening or a breast MRI
37examination, or both, depending on your individual risk factors.
38A report of your mammography results, which contains information
39about your breast density, has been sent to your physician's
40office and you should contact your physician if you have any
41questions or concerns about this report."
42     (3)(2)  Except as provided in paragraph (1)(b), for
43mammograms done more frequently than every 2 years for women 40
44years of age or older but younger than 50 years of age, the
45coverage required by subsection (1) applies, with or without a
46physician prescription, if the insured obtains a mammogram in an
47office, facility, or health testing service that uses
48radiological equipment registered with the Department of Health
49for breast cancer screening. The coverage is subject to the
50deductible and coinsurance provisions applicable to outpatient
51visits, and is also subject to all other terms and conditions
52applicable to other benefits. This section does not affect any
53requirements or prohibitions relating to who may perform,
54analyze, or interpret a mammogram or the persons to whom the
55results of a mammogram may be furnished or released.
56     (4)(3)  This section does not apply to disability income,
57specified disease, or hospital indemnity policies.
58     (5)(4)  Every insurer subject to the requirements of this
59section shall make available to the policyholder as part of the
60application, for an appropriate additional premium, the coverage
61required in this section without such coverage being subject to
62the deductible or coinsurance provisions of the policy.
63     Section 2.  Section 627.6613, Florida Statutes, is amended
64to read:
65     627.6613  Coverage for mammograms.-
66     (1)  A group, blanket, or franchise accident or health
67insurance policy issued, amended, delivered, or renewed in this
68state must provide coverage for at least the following:
69     (a)  A baseline mammogram for any woman who is 35 years of
70age or older, but younger than 40 years of age.
71     (b)  A mammogram every 2 years for any woman who is 40
72years of age or older, but younger than 50 years of age, or more
73frequently based on the patient's physician's recommendation.
74     (c)  A mammogram every year for any woman who is 50 years
75of age or older.
76     (d)  One or more mammograms a year, based upon a
77physician's recommendation, for any woman who is at risk for
78breast cancer because of a personal or family history of breast
79cancer, because of having a history of biopsy-proven benign
80breast disease, because of having a mother, sister, or daughter
81who has or has had breast cancer, or because a woman has not
82given birth before the age of 30.
83     (2)  Each mammography report provided to a patient shall
84include information about breast density based on the Breast
85Imaging Reporting and Data System established by the American
86College of Radiology. Where applicable, such report shall
87include the following notice: "If your mammogram demonstrates
88that you have dense breast tissue, which could hide small
89abnormalities, you might benefit from supplementary screening
90tests, including a breast ultrasound screening or a breast MRI
91examination, or both, depending on your individual risk factors.
92A report of your mammography results, which contains information
93about your breast density, has been sent to your physician's
94office and you should contact your physician if you have any
95questions or concerns about this report."
96     (3)(2)  Except as provided in paragraph (1)(b), for
97mammograms done more frequently than every 2 years for women 40
98years of age or older but younger than 50 years of age, the
99coverage required by subsection (1) applies, with or without a
100physician prescription, if the insured obtains a mammogram in an
101office, facility, or health testing service that uses
102radiological equipment registered with the Department of Health
103for breast cancer screening. The coverage is subject to the
104deductible and coinsurance provisions applicable to outpatient
105visits, and is also subject to all other terms and conditions
106applicable to other benefits. This section does not affect any
107requirements or prohibitions relating to who may perform,
108analyze, or interpret a mammogram or the persons to whom the
109results of a mammogram may be furnished or released.
110     (4)(3)  Every insurer referred to in subsection (1) shall
111make available to the policyholder as part of the application,
112for an appropriate additional premium, the coverage required in
113this section without such coverage being subject to the
114deductible or coinsurance provisions of the policy.
115     Section 3.  Section 641.31095, Florida Statutes, is amended
116to read:
117     641.31095  Coverage for mammograms.-
118     (1)  Every health maintenance contract issued or renewed on
119or after January 1, 1996, shall provide coverage for at least
120the following:
121     (a)  A baseline mammogram for any woman who is 35 years of
122age or older, but younger than 40 years of age.
123     (b)  A mammogram every 2 years for any woman who is 40
124years of age or older, but younger than 50 years of age, or more
125frequently based on the patient's physician's recommendations.
126     (c)  A mammogram every year for any woman who is 50 years
127of age or older.
128     (d)  One or more mammograms a year, based upon a
129physician's recommendation for any woman who is at risk for
130breast cancer because of a personal or family history of breast
131cancer, because of having a history of biopsy-proven benign
132breast disease, because of having a mother, sister, or daughter
133who has had breast cancer, or because a woman has not given
134birth before the age of 30.
135     (2)  Each mammography report provided to a patient shall
136include information about breast density based on the Breast
137Imaging Reporting and Data System established by the American
138College of Radiology. Where applicable, such report shall
139include the following notice: "If your mammogram demonstrates
140that you have dense breast tissue, which could hide small
141abnormalities, you might benefit from supplementary screening
142tests, including a breast ultrasound screening or a breast MRI
143examination, or both, depending on your individual risk factors.
144A report of your mammography results, which contains information
145about your breast density, has been sent to your physician's
146office and you should contact your physician if you have any
147questions or concerns about this report."
148     (3)(2)  The coverage required by this section is subject to
149the deductible and copayment provisions applicable to outpatient
150visits, and is also subject to all other terms and conditions
151applicable to other benefits. A health maintenance organization
152shall make available to the subscriber as part of the
153application, for an appropriate additional premium, the coverage
154required in this section without such coverage being subject to
155any deductible or copayment provisions in the contract.
156     Section 4.  This act shall take effect October 1, 2011.


CODING: Words stricken are deletions; words underlined are additions.
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