Reduces the age from 35 to 30 for a covered person's annual mammogram for persons enrolled in large group policies.
Summary
Bill S07280, known as "Shannon's Law," proposes to amend the New York insurance law to lower the age at which individuals enrolled in certain large group health insurance policies can receive annual mammograms from 35 to 30 years old. The bill mandates that insurers provide coverage for these annual mammograms upon the recommendation of a physician, contingent on the determination that the procedure is medically necessary. Additionally, the bill maintains existing provisions for individuals with a prior history of breast cancer or those with first-degree relatives who have had breast cancer, allowing for mammograms at any age.
Impact
If enacted, this bill would expand access to mammography screening for younger women, specifically those aged 30 to 34, who are currently not covered for annual screenings under large group policies. This change aligns with evolving medical guidelines that suggest earlier screening for certain populations. The bill is expected to impact health insurance providers by increasing the number of covered mammograms, potentially leading to higher costs for insurers but also promoting early detection of breast cancer, which could reduce long-term healthcare costs associated with late-stage diagnoses.
Sentiment
The general sentiment surrounding Bill S07280 appears to be supportive, particularly among health advocates and organizations focused on women's health. Discussions suggest that there is a recognition of the importance of early detection in improving breast cancer outcomes. However, there may be concerns from some insurance providers regarding the implications of increased coverage requirements and associated costs.
Contention
Notable points of contention may arise from insurance companies that could be concerned about the financial implications of expanding coverage to younger women. Some stakeholders may argue about the necessity and cost-effectiveness of routine mammograms for women under 35, while proponents of the bill emphasize the importance of early detection and access to necessary medical care.
Requires health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with heterogeneously dense or extremely dense breasts.