House committee substitute to the 2nd edition makes the following changes.
Amends GS 58-3-271 to require every health benefit plan offered by an insurer in this State that provides benefits for a diagnostic or supplemental examination for breast cancer to ensure that the cost-sharing requirements applicable to a diagnostic or supplemental examination for breast cancer are no less favorable than the cost-sharing requirements applicable to low-dose screening mammography for breast cancer (was, cost-sharing requirements applicable to a screening examination for breast cancer). Makes a clarifying change.
Bill Summaries: H 560 DIAGNOSTIC IMAGING PARITY.
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Bill H 560 (2023-2024)Summary date: Apr 26 2023 - View Summary
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Bill H 560 (2023-2024)Summary date: Apr 25 2023 - View Summary
House committee substitute to the 1st edition makes the following change. Adds defined term screening examination for breast cancer to definitions section of GS 58-3-271 (pertaining to coverage for diagnostic, screening, and supplemental exams for breast cancer and cervical cancer). Makes organizational changes to account for newly defined term.
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Bill H 560 (2023-2024)Summary date: Apr 3 2023 - View Summary
Repeals GS 58-65-92 (hospital or medical service plans required to cover mammograms and cervical cancer screening). Repeals GS 58-67-76 (health care maintenance organization health care plans required to cover mammograms and cervical cancer screening).
Recodifies GS 58-51-57 as GS 58-3-271. Amends GS 58-3-271 (health benefit plan coverage for screening and diagnostic examinations for breast and cervical cancer) to do the following:
(1) Define cost sharing requirements and updates definitions for various diagnostic techniques for cervical and breast cancer;
(2) Make required coverage of examinations and lab tests for screening for early detection of cervical cancer and low-dose screening mammography with the same deductible, coinsurance, and other limitations as similar covered services applicable to all health benefit plans in the State; and
(3) Require that health benefit plans in the State which cover diagnostic examinations for breast cancer ensure that the cost-sharing requirements for breast cancer diagnostic or supplemental exams are not less favorable than the cost sharing requirements applicable to breast cancer screening examinations. Make additional conforming and technical changes.Amends GS 135-48.51 to make GS 58-3-271 applicable to the State Health Plan.
Effective October 1, 2023, and applies to insurance contracts entered into, renewed, or amended on or after that date.