An Act To Enhance Screening for Breast Cancer
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 24-A MRSA §2745-A, sub-§2-A is enacted to read:
2-A. Coverage for follow-up mammogram. In addition to the coverage for a screening mammogram pursuant to subsection 2, all individual insurance policies that cover radiologic procedures, except those designed to cover only specific diseases, accidental injury or dental procedures, must provide coverage for a follow-up mammogram to the screening mammogram when recommended by a physician. The policies must reimburse for one follow-up mammogram performed at least once a year for women 40 years of age and over.
Sec. 2. 24-A MRSA §2837-A, sub-§2-A is enacted to read:
2-A. Coverage for follow-up mammogram. In addition to the coverage for a screening mammogram pursuant to subsection 2, all group insurance policies that cover radiologic procedures, except those policies that cover only dental procedures, accidental injury or specific diseases, must provide coverage for a follow-up mammogram to the screening mammogram when recommended by a physician. The policies must reimburse for one follow-up mammogram performed at least once a year for women 40 years of age and over.
Sec. 3. 24-A MRSA §4237-A, sub-§2-A is enacted to read:
2-A. Coverage for follow-up mammogram. In addition to the coverage for a screening mammogram pursuant to subsection 2, all individual and group coverage subject to this chapter must provide coverage for a follow-up mammogram to the screening mammogram when recommended by a physician. The policies must reimburse for one follow-up mammogram performed at least once a year for women 40 years of age and over.
Sec. 4. Application. The requirements of this Act apply to all policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State on or after January 1, 2008. For purposes of this Act, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.
summary
This bill requires health insurance companies and health maintenance organizations to provide coverage for a follow-up mammogram to a screening mammogram when recommended by a physician. The bill applies to all individual and group policies issued or renewed on or after January 1, 2008.