1.1 	A bill for an act
1.2 	relating to health; insurance; requiring diagnostic or supplemental magnetic 
1.3 	resonance imaging and ultrasonic scanning to be covered as a preventive service 
1.4 	for those at risk of breast cancer;amending Minnesota Statutes 2019 Supplement, 
1.5 	section 62A.30, subdivision 4.
1.6 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.7 	Section 1. Minnesota Statutes 2019 Supplement, section 62A.30, subdivision 4, is amended 
1.8 	to read:
1.9 		Subd. 4.Mammograms. (a) ~~For purposes of subdivision 2,~~ Coverage for a preventive 
1.10 	mammogram screening under subdivision 2 includes the following services for enrollees 
1.11 	at risk for breast cancer: (1) ~~includes~~ digital breast tomosynthesis ~~for enrollees at risk for~~ 
1.12 	~~breast cancer, and (2) is covered as a preventive item or service, as described under section~~ 
1.13 	~~62Q.46~~; and (2) diagnostic or supplemental magnetic resonance imaging or, if imaging is 
1.14 	not possible, ultrasonic scanning.
1.15 	(b) For purposes of this subdivision, "digital breast tomosynthesis" means a radiologic 
1.16 	procedure that involves the acquisition of projection images over the stationary breast to 
1.17 	produce cross-sectional digital three-dimensional images of the breast. "At risk for breast 
1.18 	cancer" means:
1.19 	(1) having a family history with one or more first- or second-degree relatives with breast 
1.20 	cancer;
1.21 	(2) testing positive for BRCA1 or BRCA2 mutations;
1.22 	(3) having heterogeneously dense breasts or extremely dense breasts based on the Breast 
1.23 	Imaging Reporting and Data System established by the American College of Radiology; or
2.1 	(4) having a previous diagnosis of breast cancer.
2.2 	(c) This subdivision does not apply to coverage provided through a public health care 
2.3 	program under chapter 256B or 256L.
2.4 	~~(d) Nothing in this subdivision limits the coverage of digital breast tomosynthesis in a~~ 
2.5 	~~policy, plan, certificate, or contract referred to in subdivision 1 that is in effect prior to~~ 
2.6 	~~January 1, 2020.~~
2.7 	(d) The services described in paragraph (a) are preventive items or services as described 
2.8 	in section 62Q.46.
2.9 	(e) Nothing in this subdivision prohibits a policy, plan, certificate, or contract referred 
2.10 	to in subdivision 1 from covering digital breast tomosynthesis, diagnostic or supplemental 
2.11 	magnetic resonance imaging or ultrasonic scanning for an enrollee who is not at risk for 
2.12 	breast cancer.

2.13 	EFFECTIVE DATE. This section is effective January 1, 2021, and applies to health 
2.14 	plans offered, issued, or renewed on or after that date.