HF 440

as introduced - 91st Legislature (2019 - 2020) Posted on 04/04/2019 09:24am

A bill for an act
relating to insurance; requiring coverage for certain breast cancer screening
procedures; amending Minnesota Statutes 2018, section 62A.30, by adding a
subdivision.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2018, section 62A.30, is amended by adding a subdivision
to read:

Subd. 4.

Mammograms.

(a) For purposes of subdivision 2, coverage for a preventive
mammogram screening (1) includes digital breast tomosynthesis for enrollees at risk for
breast cancer, and (2) is covered as a preventive item or service, as described under section
62Q.46.

(b) For purposes of this subdivision, "digital breast tomosynthesis" means a radiologic
procedure that involves the acquisition of projection images over the stationary breast to
produce cross-sectional digital three-dimensional images of the breast. "At risk for breast
cancer" means:

(1) having a family history with one or more first- or second-degree relatives with breast
cancer;

(2) testing positive for BRCA1 or BRCA2 mutations;

(3) having heterogeneously dense breasts or extremely dense breasts based on the Breast
Imaging Reporting and Data System established by the American College of Radiology; or

(4) having a previous diagnosis of breast cancer.

(c) This subdivision does not apply to coverage provided through a public health care
program under chapter 256B or 256L.

(d) Nothing in this subdivision limits the coverage of digital breast tomosynthesis in a
policy, plan, certificate, or contract referred to in subdivision 1 that is in effect prior to
January 1, 2020.

(e) Nothing in this subdivision prohibits a policy, plan, certificate, or contract referred
to in subdivision 1 from covering digital breast tomosynthesis for an enrollee who is not at
risk for breast cancer.

EFFECTIVE DATE.

This section is effective January 1, 2020, and applies to health
plans issued, sold, or renewed on or after that date.