THE SENATE	S.B. NO.	2343
TWENTY-FIFTH LEGISLATURE, 2010		S.D. 1
STATE OF HAWAII

A BILL FOR AN ACT

RELATING TO INSURANCE COVERAGE FOR MAMMOGRAMS.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

     SECTION 1.  Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to article 10A to be appropriately designated and to read as follows:

"§431:10A-   Mammograms; referral not required. (a)  No insurer shall require a covered person over the age of forty to obtain a referral from a primary care provider or other physician for an annual mammogram.  An insurer shall provide full coverage for one mammogram per year obtained pursuant to this section.

(b)  Depending on the results of the annual no-referral mammogram, a referral for follow up services shall be sent to the patient's primary care physician or other physician, as designated by the patient."

     SECTION 2.  Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to article 1 to be appropriately designated and to read as follows:

"§432:1-   Mammograms; referral not required. (a)  No mutual benefit society shall require a covered person over the age of forty to obtain a referral from a primary care provider or other physician for an annual mammogram.  A mutual benefit society shall provide full coverage for one mammogram per year obtained pursuant to this section.

(b)  Depending on the results of the annual no-referral mammogram, a referral for follow up services shall be sent to the patient's primary care physician or other physician, as designated by the patient."

     SECTION 3.  Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to article 2 to be appropriately designated and to read as follows:

"§432:2-   Mammograms; referral not required. (a)  No fraternal benefit society shall require a covered person over the age of forty to obtain a referral from a primary care provider or other physician for an annual mammogram.  A fraternal benefit society shall provide full coverage for one mammogram per year obtained pursuant to this section.

(b)  Depending on the results of the annual no-referral mammogram, a referral for follow up services shall be sent to the patient's primary care physician or other physician, as designated by the patient."

     SECTION 4.  Chapter 432D, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:

"§432D-   Mammograms; referral not required. (a)  No health maintenance organization shall require a covered person over the age of forty to obtain a referral from a primary care provider or other physician for an annual mammogram.  A health maintenance organization shall provide full coverage for one mammogram per year obtained pursuant to this section.

(b)  Depending on the results of the annual no-referral mammogram, a referral for follow up services shall be sent to the patient's primary care physician or other physician, as designated by the patient."

     SECTION 5.  New statutory material is underscored.

     SECTION 6.  This Act shall take effect on July 1, 2010.

Report Title:

Mammograms; Accident and Health or Sickness Insurance

Description:

Prohibits an insurer from requiring a doctor's referral for annual mammograms for covered individuals over forty years old.  (SD1)

The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.