Insights

Coverage for Digital Tomosynthesis


On May 25, 2017, Gov. Larry Hogan signed S.B. 61 into law. The new law requires certain coverage for digital tomosynthesis, which is a radiological procedure that produces cross-sectional digital three-dimensional images of the breast. Insurers who are required to provide breast cancer screenings must provide coverage for digital tomosynthesis for insureds whose treating physician determines it is medically appropriate and necessary. The insurer may not impose a copayment or coinsurance amount that is greater than for other breast cancer screenings. The law is effective for policies issued or renewed on or after Jan. 1, 2018.

S.B. 61 »