This bill would change Medicaid rules so certain breast exams are provided without cost sharing. It adds definitions for "diagnostic breast examination" and "supplemental breast examination," referencing National Comprehensive Cancer Network guidelines. It also makes screening mammography rated A or B by the U.S. Preventive Services Task Force a mandatory Medicaid benefit. The changes would apply to medical assistance furnished on or after 1 year after the bill becomes law.
If you are enrolled in Medicaid, diagnostic and supplemental breast exams covered by Medicaid would have no cost sharing (no copayments, coinsurance, or similar charges). Covered exams include diagnostic mammography, breast MRI, and breast ultrasound when used as defined in the bill. Screening mammograms with an A or B USPSTF grade would be included as a required covered service. The rules take effect one year after enactment.
No publicly available information.
The bill's sponsors introduced it to require that diagnostic and supplemental breast examinations be furnished without cost sharing under Medicaid and to include certain screening mammography as a mandatory benefit.
No publicly available information.