HF 384: Relating to health insurance coverage for certain post-mastectomy-related issues

What it does

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.

In plain words

1. February 21, 2023Filed in the House and sent to the Commerce committee