| |
| |
|
|
A BILL TO BE ENTITLED
|
|
|
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 mammography" means a method of |
|
|
screening that is designed to evaluate an abnormality in a breast, |
|
|
including an abnormality seen or suspected on a screening mammogram |
|
|
or a subjective or objective abnormality otherwise detected in the |
|
|
breast. |
|
|
SECTION 2. Section 1356.002, Insurance Code, is amended by |
|
|
amending Subsection (g) and adding Subsections (i) and (j) 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) Notwithstanding Section 157.008, Local Government Code, |
|
|
or any other law, this chapter applies to a county employee health |
|
|
benefit plan established under Chapter 157, Local Government Code. |
|
|
(j) 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 Section 1356.0021, Insurance Code, is repealed.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. |