Requires health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with heterogeneously dense or extremely dense breasts.
Summary
Bill S02395 amends the insurance law in New York to require health insurance coverage for mammography screening, specifically for individuals with heterogeneously dense or extremely dense breasts. The bill mandates that health insurance policies provide coverage for either an annual mammogram and breast ultrasound or breast tomosynthesis for these individuals. It also ensures that other necessary screenings and diagnostic imaging are covered based on physician recommendations and nationally recognized clinical practice guidelines. This legislation aims to enhance early detection of breast cancer in women who may be at higher risk due to breast density.
Impact
The passage of this bill will expand the scope of health insurance coverage related to mammography, specifically targeting individuals with dense breast tissue, which can complicate the detection of breast cancer. By mandating coverage for additional diagnostic options, the bill may lead to increased access to necessary screenings and potentially improve health outcomes for women in New York. It will also require insurers to adjust their policies to comply with these new coverage requirements, which may affect their cost structures and premium rates.
Sentiment
The general sentiment surrounding Bill S02395 appears to be supportive, as it addresses a critical health issue affecting many women. Stakeholders, including healthcare providers and advocates for women's health, have expressed the importance of ensuring that women with dense breasts receive adequate screening options. However, there may be concerns regarding the financial implications for insurance companies and potential increases in premiums as a result of expanded coverage.
Contention
Notable points of contention may arise from insurance companies regarding the financial impact of the mandated coverage on their operations and pricing structures. Some may argue that the requirement could lead to increased costs for insurers, which could, in turn, affect consumers through higher premiums. Additionally, there may be discussions about the adequacy of current clinical guidelines and whether the bill appropriately balances patient needs with cost considerations.
Same As
Requires health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with heterogeneously dense or extremely dense breasts.
Requires health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with heterogeneously dense or extremely dense breasts.
In casualty insurance, repealing provisions relating to coverage for mammographic examinations and breast imaging and providing for coverage for mammographic examinations, magnetic resonance imaging and other forms of breast imaging.
Requires health care professional to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.
Requires health care professionals to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.