Bill Text: OR SB420 | 2013 | Regular Session | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Relating to women's health.

Spectrum: Moderate Partisan Bill (Democrat 7-2)

Status: (Passed) 2013-06-21 - Effective date, January 1, 2014. [SB420 Detail]

Download: Oregon-2013-SB420-Introduced.html

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     77th OREGON LEGISLATIVE ASSEMBLY--2013 Regular Session

NOTE:  Matter within  { +  braces and plus signs + } in an
amended section is new. Matter within  { -  braces and minus
signs - } is existing law to be omitted. New sections are within
 { +  braces and plus signs + } .

LC 959

                         Senate Bill 420

Sponsored by Senators DINGFELDER, STEINER HAYWARD, Representative
  TOMEI; Senator ROSENBAUM (Presession filed.)

                             SUMMARY

The following summary is not prepared by the sponsors of the
measure and is not a part of the body thereof subject to
consideration by the Legislative Assembly. It is an editor's
brief statement of the essential features of the measure as
introduced.

  If mammogram shows dense breast tissue, requires person who
performed mammogram to notify patient of results and possible
increased risk of breast cancer and to advise patient to contact
patient's health care provider regarding appropriateness of
supplemental testing.
  Requires health benefit plan to reimburse costs of breast
ultrasound required because mammogram shows dense breast tissue.
  Prohibits cost-sharing for mammograms and breast ultrasounds
meeting specified criteria.
  Declares emergency, effective on passage.

                        A BILL FOR AN ACT
Relating to women's health; creating new provisions; amending ORS
  743A.100; and declaring an emergency.
Be It Enacted by the People of the State of Oregon:
  SECTION 1.  { + (1) A health care facility or a health
maintenance organization, as those terms are defined in ORS
442.015, or any person licensed to practice medical imaging under
ORS 688.405 to 688.605, must provide written notice, in the form
prescribed by the Oregon Health Authority under subsection (2) of
this section, to a patient on whom the facility, organization or
medical imaging licensee has performed a mammogram if the
mammogram shows the patient has dense breast tissue.
  (2) The authority shall prescribe by rule the form and content
of the notice provided under subsection (1) of this section. The
notice must include but is not limited to all of the following:
  (a) Information about breast density, based on the Breast
Imaging Reporting and Data System established by the American
College of Radiology;
  (b) An explanation that dense breast tissue can make it harder
to find cancer on a mammogram and that dense breast tissue may
also be associated with an increased risk of breast cancer;
  (c) That the patient may benefit from supplementary screening
or diagnostic testing including a breast ultrasound; and
  (d) That the patient should contact the patient's health care
provider to find out whether the health care provider recommends
additional testing. + }
  SECTION 2. ORS 743A.100 is amended to read:
  743A.100. (1) Every   { - health insurance policy - }  { +
health benefit plan as defined in ORS 743.730 + }   { - that
covers hospital, medical or surgical expenses, other than
coverage limited to expenses from accidents or specific
diseases, - }  shall provide coverage   { - of mammograms - }  as
follows { +  for + }:
  (a)   { - Mammograms - }  { +  A mammogram + } for the purpose
of diagnosis in  { +  a + } symptomatic or high-risk
 { - women - }  { +  woman + } at any time upon referral of the
woman's health care provider  { - ; and - }  { + . + }
  (b) An annual mammogram for the purpose of early detection for
a woman 40 years of age or older, with or without referral from
the woman's health care provider.
   { +  (c) A breast ultrasound for a woman whose mammogram shows
dense breast tissue. + }
  (2)   { - An insurance policy described in subsection (1) of
this section - }  { +  A health benefit plan + } must not limit
coverage of mammograms to the schedule provided in subsection
 { - (1) - }  { +  (1)(b) + } of this section if   { - the - }
 { +  a + } woman is determined by her health care provider to be
at high risk for breast cancer.
   { +  (3) The services described in subsection (1) of this
section shall be treated by an insurer as screening procedures
and may not be subject to cost-sharing requirements, including:
  (a) Copayments;
  (b) Coinsurance; and
  (c) Deductibles. + }
  SECTION 3.  { + The amendments to ORS 743A.100 by section 2 of
this 2013 Act apply to health benefit plans issued or renewed on
or after the effective date of this 2013 Act. + }
  SECTION 4.  { + This 2013 Act being necessary for the immediate
preservation of the public peace, health and safety, an emergency
is declared to exist, and this 2013 Act takes effect on its
passage. + }
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