Substitute for Raised H.B. No. 6626
Session Year 2021
 


AN ACT CONCERNING REQUIRED HEALTH INSURANCE COVERAGE FOR BREAST HEALTH BENEFITS.

To: (1) Require certain individual and group health insurance policies to provide coverage for (A) motorized wheelchairs, including, but not limited to, (i) used motorized wheelchairs, (ii) repairs to motorized wheelchairs, and (iii) replacement batteries for motorized wheelchairs, (B) cochlear implants and cochlear implant surgery for insureds diagnosed with hearing loss, (C) medically necessary coronary calcium scan tests, (D) genetic cystic fibrosis screenings for women, (E) the treatment of neurological conditions and diseases, including, but not limited to, physical therapy for the treatment of amyotrophic lateral sclerosis, (F) equine therapy for veterans, (G) gambling disorder treatment, (H) audiologic, ophthalmologic and optometric care, and (I) specialized formulas for individuals twelve years of age or older; (2) require Medicaid coverage for audiologic, ophthalmologic and optometric care; (3) (A) modify required health insurance coverage for ambulance services to (i) include medically necessary transportation to a covered person's place of residence, and (ii) require that such benefits be provided at an in-network level, (B) provide for electronic notification of assignments of bills for ambulance services, and (C) require an ambulance provider to notify, and obtain consent from, a person before providing transportation services to the person if the provider reasonably believes that such services are not emergency services; (4) require the Insurance Commissioner to, within available appropriations, establish a program to advance breast health and breast cancer awareness, and promote greater understanding of the importance of early breast cancer detection, in this state; (5) expand required health insurance coverage under certain individual and group health insurance policies to include coverage for (A) colorectal cancer diagnoses and related benefits, (B) breast health and breast cancer benefits regardless of sex, (C) diagnostic and screening (i) mammograms, including, but not limited to, (I) baseline mammograms for certain insureds younger than thirty-five years of age, and (II) annual mammograms for certain insureds younger than forty years of age, (ii) comprehensive breast ultrasounds, and (iii) magnetic resonance imaging of an entire breast or breasts, (D) breast biopsies, (E) prophylactic mastectomies for certain insureds, and (F) breast reconstructive surgery for certain insureds; and (6) (A) require a health care provider who provides a mammogram to a patient to provide to the patient (i) advance notice disclosing information regarding certain tests or examinations proposed to further investigate the results of the mammogram, and (ii) an opportunity to determine whether the cost of such proposed tests or examinations are covered under the terms of the patient's health coverage, and (B) authorize the Commissioner of Public Health, in consultation with the Insurance Commissioner, to adopt regulations.

Introduced by:
Insurance and Real Estate Committee

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Co-sponsors for Amendment LCO:

Bill History

 Date Action Taken
 5/14/2021(LCO)File Number 693
 5/14/2021Senate Calendar Number 431
 5/14/2021Favorable Report, Tabled for the Calendar, Senate
 5/12/2021House Passed as Amended by House Amendment Schedule A
 5/12/2021House Adopted House Amendment Schedule A 7698
 5/4/2021Tabled for the Calendar, House
 5/4/2021No New File by Committee on Appropriations
 5/4/2021(LCO)Reported Out of Legislative Commissioners' Office
 5/4/2021(LCO)Filed with Legislative Commissioners' Office
 5/3/2021(APP)Joint Favorable
 4/26/2021Referred by House to Committee on Appropriations
 4/8/2021(LCO)File Number 351
 4/8/2021House Calendar Number 267
 4/8/2021Favorable Report, Tabled for the Calendar, House
 4/8/2021(LCO)Reported Out of Legislative Commissioners' Office
 4/1/2021(LCO)Referred to Office of Legislative Research and Office of Fiscal Analysis 04/07/21 5:00 PM
 3/23/2021(LCO)Filed with Legislative Commissioners' Office
 3/22/2021(INS)Joint Favorable Substitute
 3/12/2021Public Hearing 03/18
 3/11/2021Referred to Joint Committee on Insurance and Real Estate

Co-sponsors of HB-6626

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