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