Bills › 90th General Assembly
Relating to health insurance coverage for certain post-mastectomy-related issues
Where it is now
- Done: IntroducedFebruary 21, 2023
- Stopped: SubcommitteeDied when the General Assembly ended
- Next: House committee
- Next: Passes the House
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2024 session adjourned on April 19, 2024, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
This bill relates to health insurance coverage for certain post-mastectomy-related issues. The bill defines “mastectomy” as the removal of all or part of a breast for a medically necessary reason as determined by a covered person’s health care professional. The bill requires a health carrier that offers individual, group, or small group contracts, policies, or plans (plans) in this state that provide for third-party payment or prepayment of health or medical expenses, and that provide coverage for mastectomies, to provide coverage for physical complications caused by a mastectomy, including lymphedema; prosthetic devices; a custom fabricated breast prothesis for each breast on which a mastectomy has been performed; one additional breast prothesis for each breast affected by a mastectomy; all stages of reconstruction of the breast on which the mastectomy has been performed; and surgery and reconstruction of the breast on which the mastectomy was not performed to produce symmetry with the other breast.
Read the full explanation
The coverage cannot be subject to cost sharing that is greater than the cost sharing that a plan imposes for a mastectomy under the plan. The bill applies to the third-party payment providers enumerated in the bill. The bill specifies the types of specialized health-related insurance which are not subject to the coverage requirements of the bill. The bill applies to third-party payment provider plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2024. The commissioner of insurance must adopt rules to administer the bill.
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Tried before
90th General Assembly
Earlier and later bills are matched by wording or an identical title.
Tried before
This idea has been filed in an earlier General Assembly. None got through a chamber.
- HF 727 Relating to health insurance coverage for certain post-mastectomy related issues, and incl…89th General Assembly · In committee · nearly identicalCleared committee
Matched by wording or an identical title.