Bill Text: TX HB3423 | 2021-2022 | 87th Legislature | Introduced

Texas House Bill 3423 (Prior Session Legislation)

Introduced

Bill Title: Relating to coverage for supplemental ultrasound imaging to screen for breast cancer under certain health benefit plans.

Sponsorship: Partisan Bill (Republican 1)

Status: (Introduced - Dead) 2021-04-20 - Left pending in committee [HB3423 Detail]

Download: Texas-2021-HB3423-Introduced.html

	87R6441 MEW-D

	By: Morrison	H.B. No. 3423



	A BILL TO BE ENTITLED
	AN ACT
	relating to coverage for supplemental ultrasound imaging to screen
	for breast cancer under certain health benefit plans.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1. The heading to Chapter 1356, Insurance Code, is
	amended to read as follows:
	CHAPTER 1356. MAMMOGRAPHY AND OTHER BREAST IMAGING
	SECTION 2. Chapter 1356, Insurance Code, is amended by
	adding Section 1356.006 to read as follows:
	Sec. 1356.006. SUPPLEMENTAL COVERAGE REQUIRED. (a) An
	issuer of a health benefit plan that provides coverage under
	Section 1356.005 must provide coverage for supplemental two- or
	three-dimensional breast ultrasound imaging as part of an annual
	screening covered under the plan if a licensed health care
	professional treating the enrollee or screening the enrollee for
	breast cancer finds that the enrollee has dense breast tissue, as
	defined by the Breast Imaging Reporting and Database System (Fifth
	Edition) established by the American College of Radiology.
	(b) Coverage required by this section:
	(1) may not be less favorable than coverage for other
	radiological examinations under the plan; and
	(2) must be subject to the same dollar limits,
	deductibles, and coinsurance factors as coverage for other
	radiological examinations under the plan.
	SECTION 3. 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 4. This Act applies only to a health benefit plan
	that is delivered, issued for delivery, or renewed on or after
	January 1, 2022. A health benefit plan that is delivered, issued
	for delivery, or renewed before January 1, 2022, 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 5. This Act takes effect September 1, 2021.