PA 16-82—sHB 5233
Insurance and Real Estate Committee
AN ACT CONCERNING HEALTH INSURANCE COVERAGE FOR TOMOSYNTHESIS FOR BREAST CANCER SCREENINGS
SUMMARY: This act requires certain Connecticut health insurance policies to cover, at the option of the beneficiary, breast tomosynthesis. Breast tomosynthesis is a three-dimensional mammogram. By law, such policies must cover baseline mammograms for women age 35 through 39, and annual mammograms for women age 40 or older.
The act applies to (1) individual or group health insurance policies that cover (a) basic hospital expenses; (b) basic medical-surgical expenses; (c) major medical expenses; or (d) hospital or medical services, including those provided under an HMO plan; and (2) individual health insurance policies that provide limited benefit health coverage. Because of the federal Employee Retirement Income Security Act (ERISA), state insurance benefit mandates do not apply to self-insured benefit plans.
EFFECTIVE DATE: January 1, 2017
OLR Tracking: AR; MK: PF; bs