The Government Relations committee of the American College of Radiology’s® (ACR’s®) Breast Imaging Commission stands ready to work with the state chapters to support state legislative remedies to overcome obstacles against private insurance coverage of digital breast tomosynthesis (DBT).
Eighteen states have thus far passed legislation requiring private insurers to reimburse health care providers for DBT cancer screenings and diagnostic breast procedures. Those states are Arkansas, Colorado, Connecticut, Illinois, Kansas, Louisiana, Maryland, Missouri, Minnesota, New Hampshire, New Jersey, New York, Oklahoma, Texas, Vermont and Washington.
Legislatures in many of the remaining states and U.S. territories will weigh the merits of their own possible DBT mandates in 2020. Numerous published studies demonstrating the cost-effectiveness of DBT offer a strong economic argument to require coverage. Breast cancer patient advocates and an increasing number of state radiological societies support legislation that would mandate private insurance reimbursement.
Chair Kelly Biggs, MD, and members of the government relations committee of the ACR’s Breast Imaging Commission are prepared to assist state chapters with resources to answer their questions about DBT coverage and provide expert advice on successfully advocating for state legislation.