Genome Statute and Legislation Database Search

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  • Content Type: State Statute
  • Topic: Health Insurance Coverage
  • 4 records returned

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State Citation/Title Ascending Order
(link to state's page)
Topic(s) Summary
Colorado State Statute
opens new window Colorado: CRS 10-16-102 et seq.
Health Insurance Coverage The law requires breast cancer screening with mammography annually for persons with a predisposition to breast cancer.
Illinois State Statute
opens new window Illinois: ILCS 215 ILCS 5/356g
Health Insurance Coverage Individual and group health insurers must provide coverage for a mammogram and a screening MRI at the age and intervals considered medically necessary by the woman's health care provider for women under 40 years of age and having a family history of breast cancer, prior personal history of breast cancer, positive genetic testing, or other risk factors. Coverage for a comprehensive ultrasound screening of an entire breast or breasts also is required if a mammogram demonstrates heterogeneous or dense breast tissue based on the Breast Imaging Reporting and Data System established by the American College of Radiology or if the woman is at increased risk for breast cancer due to family history or prior personal history of breast cancer, positive genetic testing, or other indications as determined by a woman's health care provider. See 2015 enacted legislation HB 3673 and SB 54 for amendments to this statue section that may not be yet reflected in the online version of the statutes.
Massachusetts State Statute
opens new window Massachusetts: MGL 32A 25
175 47AA
176A 8DD
176B 4DD
176G 4V
Health Insurance Coverage Individual accident and sickness policies, individual and group hospital service plans, the group insurance commissionplan for active and retired employees, and individual or group medical service agreement and health maintenance contract must provide benefits on a nondiscriminatory basis for diagnosis and treatment of autism. Diagnosis of autism spectrum disorders is defined to include genetic testing.
Rhode Island State Statute
opens new window Rhode Island: RIGL 27-18-41
Health Insurance Coverage Every individual or group hospital or medical insurance policy or individual or group hospital or medical services plan contract delivered, issued for delivery, or renewed in this state shall pay for two (2) screening mammograms per year when recommended by a physician for women who have been treated for breast cancer within the last five (5) years or are at high risk of developing breast cancer due to genetic predisposition (BRCA gene mutation or multiple first degree relatives) or high risk lesion on prior biopsy (lobular carcinoma in situ) or atypical ductal hyperplasia.

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Last Reviewed: June 10, 2014