§432:1-605  Mammogram screening.  (a) Notwithstanding any provision to the contrary, each policy, contract, plan, oragreement issued on or after February 1, 1991, except for policies that onlyprovide coverage for specified diseases or other limited benefit coverage, butincluding policies issued by companies subject to chapter 431, article 10A,part II and chapter 432, article 1 shall provide coverage for screening bylow-dose mammography for occult breast cancer as follows:

(1)  For women forty years of age and older, an annualmammogram; and

(2)  For a woman of any age with a history of breastcancer or whose mother or sister has had a history of breast cancer, amammogram upon the recommendation of the woman's physician.

(b)  The services provided in subsection (a)are subject to any coinsurance provisions that may be in force in thesepolicies, contracts, plans, or agreements.

(c)  For purposes of this section,"low-dose mammography" means the x-ray examination of the breastusing equipment dedicated specifically for mammography, including but notlimited to the x-ray tube, filter, compression device, screens, films, andcassettes, with an average radiation exposure delivery of less than one radmid-breast, with two views for each breast.

(d)  An insurer may provide the servicesrequired by this section through contracts with providers; provided that thecontract is determined to be a cost-effective means of delivering the serviceswithout sacrifice of quality and meets the approval of the director of health.[L 1990, c 112, §3; am L 1994, c 279, §3; am L 1999, c 13, §3]

 

Note

 

  Director of health to monitor the mammogram screeningservices to assure that the demand for screening does not exceed the ability ofthe medical community to safely provide the services.  L 1990, c 112, §5.

 

Cross References

 

  Sunset evaluations modified, see §§26H-4, 5.