An Act Relating to Insurance Coverage for Screening Mammograms

Sec. 1. 24 MRSA §2320-A, sub-§1,  as enacted by PL 1989, c. 875, Pt. I, §2, is amended to read:

Sec. 2. 24-A MRSA §2745-A, sub-§1,  as amended by PL 2007, c. 153, §1 and affected by §5, is further amended to read:

Sec. 3. 24-A MRSA §2837-A, sub-§1,  as amended by PL 2007, c. 153, §2 and affected by §5, is further amended to read:

Sec. 4. 24-A MRSA §4237-A, sub-§1,  as amended by PL 2007, c. 153, §3 and affected by §5, is further amended to read:

Sec. 5. Reimbursement. Beginning January 1, 2020, health insurance reimbursement pursuant to the Maine Revised Statutes, Title 24, section 2320-A or Title 24-A, section 2745-A, 2837-A or 4237-A must reflect the resource costs specific to each modality, including any increased resource cost of breast tomosynthesis.

summary

This bill amends the definition of "screening mammogram" to include 3-dimensional tomosynthesis for purposes of required health insurance coverage and reimbursement by individual plans, group plans, health maintenance organizations and nonprofit hospital and medical service organizations.