HWI LEG Mammography Services

Updated on: Jul 3, 2024

Latest Event


  • Jun. 2024 HWI LEG Governor Signed Bill
  • On Jun. 27, 2024, HWI LEG reported governor signed bill into law, assigned Act 103.

On Apr. 22, HWI LEG passed bill regarding coverage, external review.

  • HWI LEG passed HB 2393 / SB 3082 regarding coverage for mammography services.
  • Amends HWI INS 431:10A-116 (coverage), HWI INS 432:1-605 (mammogram), HWI INS 432E-34, HWI INS 432E-35, HWI INS 432E-36 (external and expedited reviews).
  • Bill Provisions
  • Health insurers, mutual benefit societies, health maintenance organizations to cover mandated services at least as favorably as coverage for other radiological exams.
  • Provisions provided amendments to external review procedures to improve consistency with the NAIC Uniform health carrier external review model act (NAIC Model Law 76).
  • Legislative History
  • On Jan. 24, 2024, bill introduced in the House; on Feb. 29, 2024, bill passed in House.
  • On Mar. 1, 2024, bill introduced in the Senate; on Apr. 9, 2024, bill passed in Senate.
  • On Apr. 22, 2024, House agreed to amendment, passed as amended, sent to governor.
  • Effectiveness
  • This act shall take effect on Jul. 1, 2025.
  • Jun. 2024 HWI LEG Governor Signed Bill
  • On Jun. 27, 2024, HWI LEG reported governor signed bill into law, assigned Act 103.
Regulators
HWI LEG
Entity Types
CNSM; Ins
Reference
Act 103, 6/27/2024; Bill HB2393 HD1 SD1, SB3082, 4/22/2024; NAIC Model Act 76; Citation: *HWI INS* 431:10A-116, 432:1-605, 432E-34, 432E-35, 432E-36; NAIC Model Law 76;
Functions
Claims/Accelerated Benefits; Compliance; Legal; Operations; Product Administration
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Apr 22, 2024
Effective Date
Jul 1, 2025
Rule ID
209538
Linked to
N/A
Reg. Last Update
Jun 27, 2024
Report Section
US Insurance