September 15, 2017

Pennsylvania Considers Insurance Mandate Bill

Pennsylvania legislators are weighing the merits of a bill that would mandate insurance coverage for breast ultrasound and MRI for women suspected to have dense breast tissue.

Senate Bill 869 seeks to extend mandated insurance coverage to ultrasound screening and magnetic resonance imaging if a mammogram demonstrates heterogeneous or dense breast tissue based on American College of Radiology (ACR®) BI-RADS® or if a woman is believed to be at increased risk for breast cancer due to family history or prior personal history of breast cancer, positive genetic testing or other indications deemed as medically necessary by the woman’s physician. The bill was referred to Committee on Banking and Insurance Sept. 6.

The Pennsylvania legislature is one of a few state law-making bodies that has not adjourned for the rest of 2017. Several state legislatures are in special session to discuss budgets. Several others meet year-round.