IL State Updates - 2015 Jan 08 No.01

On Aug. 19, 2015, Gov. Rauner signed SB 54 into law. This law amends the Illinois Insurance Code by including breast tomosynthesis in the definition of “low-dose mammography.” “Breast tomosynthesis” is a radiologic procedure that involves the acquisition of projection images over the stationary breast to produce cross-sectional, digital three-dimensional images of the breast.

As background, Illinois requires fully insured plans to cover low-dose mammography to detect the presence of occult breast cancer in plan participants who are age 35 and older. As such, this amendment requires plans to cover breast tomosynthesis.

This law takes effect July 1, 2016, but only if:

PPACA is repealed by Congress or invalidated by a decision of the U.S. Supreme Court;HHS promulgates a rule, regulation or comment that eliminates the state’s responsibility to defray the cost of state-mandated benefits or that requires breast tomosyntheses to be covered as an essential health benefit under a qualified health plan.

SB 54 »