July 10, 2018
On May 21, 2018, Gov. Scott signed HB 639 into law. The newly enacted law requires plans to provide coverage for mammography screenings to detect the presence of occult breast cancer. Specifically, plans must provide coverage for annual screening mammograms for female plan participants age 40 and older and screening mammograms for participants younger than age 40 if recommended by participants’ health-care providers. Plans must also provide coverage for screening by ultrasound for plan participants whose screening mammogram results were inconclusive, showed dense breast tissue, or both.
The coverage must meet the following requirements:
The bill is effective for plan years beginning after Jan. 1, 2019. The bill contains no new employer obligations, but employers with fully-insured plans in Vermont should review the new laws to better understand the required coverages.
HB 639 »