|BILL AS PASSED HOUSE AND SENATE||2007-2008|
AN ACT RELATING TO MAMMOGRAPHY PATIENT COST CONTAINMENT
It is hereby enacted by the General Assembly of the State of Vermont:
Sec. 1. 8 V.S.A. § 4100a is amended to read:
§ 4100a. MAMMOGRAMS; COVERAGE REQUIRED
Insurers shall provide coverage for screening by low-dose mammography for the
presence of occult breast cancer, as provided by this subchapter. Benefits
be at least as favorable as coverage for other radiological
examinations and subject to the same dollar limits, deductibles, and
coinsurance factors within the provisions of the policy cover the full
cost of the mammography service, subject to a co-payment no greater than the
co-payment applicable to care or services provided by a primary care physician
under the insured’s policy, provided that no co-payment shall exceed $25.00.
Mammography services shall not be subject to deductible or coinsurance
(b) For females
years or older, coverage shall be provided for an annual screening. For females
less than 50 40 years of age, coverage for screening shall be
provided upon recommendation of a health care provider.
* * *
Sec. 2. APPLICABILITY AND EFFECTIVE DATE
This act shall take effect on October 1, 2008 and shall apply to all health benefit plans on and after October 1, 2008 on such date as a health insurer offers, issues, or renews the health benefit plan, but in no event later than October 1, 2009.
The Vermont General Assembly
115 State Street