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



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



(2)  For a woman of any age with a history of breast
cancer or whose mother or sister has had a history of breast cancer, a
mammogram 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 these
policies, contracts, plans, or agreements.



(c)  For purposes of this section,
"low-dose mammography" means the x-ray examination of the breast
using equipment dedicated specifically for mammography, including but not
limited to the x-ray tube, filter, compression device, screens, films, and
cassettes, with an average radiation exposure delivery of less than one rad
mid-breast, with two views for each breast.



(d)  An insurer may provide the services
required by this section through contracts with providers; provided that the
contract is determined to be a cost-effective means of delivering the services
without 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 screening
services to assure that the demand for screening does not exceed the ability of
the medical community to safely provide the services.  L 1990, c 112, §5.



 



Cross References



 



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