Bill Text: TX HB170 | 2019-2020 | 86th Legislature | Enrolled
Bill Title: Relating to coverage for mammography under certain health benefit plans.
Spectrum: Bipartisan Bill
Status: (Passed) 2019-06-15 - Effective on 9/1/19 [HB170 Detail]
Download: Texas-2019-HB170-Enrolled.html
| H.B. No. 170 | ||
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| 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 Section 1356.0021, Insurance Code, is repealed.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 | ||
