Bill Text: TX HB170 | 2019-2020 | 86th Legislature | Enrolled


Bill Title: Relating to coverage for mammography under certain health benefit plans.

Spectrum: Slight Partisan Bill (Democrat 7-4)

Status: (Passed) 2019-06-15 - Effective on 9/1/19 [HB170 Detail]

Download: Texas-2019-HB170-Enrolled.html
 
 
  H.B. No. 170
 
 
 
 
AN ACT
  relating to coverage for mammography under certain health benefit
  plans.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 1356.001, Insurance Code, is amended by
  adding Subdivision (1-a) to read as follows:
               (1-a) "Diagnostic mammogram" means an imaging
  examination designed to evaluate:
                     (A)  a subjective or objective abnormality
  detected by a physician in a breast;
                     (B)  an abnormality seen by a physician on a
  screening mammogram; 
                     (C)  an abnormality previously identified by a
  physician as probably benign in a breast for which follow-up
  imaging is recommended by a physician; or
                     (D)  an individual with a personal history of
  breast cancer.
         SECTION 2.  Section 1356.002, Insurance Code, is amended by
  amending Subsection (g) and adding Subsection (i) to read as
  follows:
         (g)  Notwithstanding any provision in Chapter 1551, 1575,
  1579, or 1601 or any other law, this chapter applies to:
               (1)  a basic coverage plan under Chapter 1551;
               (2)  a basic plan under Chapter 1575;
               (3)  a primary care coverage plan under Chapter 1579;
  and
               (4)  basic coverage under Chapter 1601.
         (i)  To the extent allowed by federal law, this chapter
  applies to:
               (1)  the state Medicaid program operated under Chapter
  32, Human Resources Code; and
               (2)  a Medicaid managed care program operated under
  Chapter 533, Government Code.
         SECTION 3.  Section 1356.005, Insurance Code, is amended by
  adding Subsection (a-1) to read as follows:
         (a-1)  A health benefit plan that provides coverage for a
  screening mammogram must provide coverage for a diagnostic
  mammogram that is no less favorable than the coverage for a
  screening mammogram.
         SECTION 4.  Section 1356.0021, Insurance Code, is repealed.
         SECTION 5.  If before implementing any provision of this Act
  a state agency determines that a waiver or authorization from a
  federal agency is necessary for implementation of that provision,
  the agency affected by the provision shall request the waiver or
  authorization and may delay implementing that provision until the
  waiver or authorization is granted.
         SECTION 6.  This Act applies only to a health benefit plan
  that is delivered, issued for delivery, or renewed on or after
  January 1, 2020. A health benefit plan that is delivered, issued
  for delivery, or renewed before January 1, 2020, is governed by the
  law as it existed immediately before the effective date of this Act,
  and that law is continued in effect for that purpose.
         SECTION 7.  This Act takes effect September 1, 2019.
 
 
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
 
 
         I certify that H.B. No. 170 was passed by the House on May 3,
  2019, by the following vote:  Yeas 124, Nays 16, 2 present, not
  voting; and that the House concurred in Senate amendments to H.B.
  No. 170 on May 24, 2019, by the following vote:  Yeas 128, Nays 13,
  2 present, not voting.
 
  ______________________________
  Chief Clerk of the House   
 
         I certify that H.B. No. 170 was passed by the Senate, with
  amendments, on May 22, 2019, by the following vote:  Yeas 26, Nays
  5.
 
  ______________________________
  Secretary of the Senate   
  APPROVED: __________________
                  Date       
   
           __________________
                Governor       
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