2005 Texas Insurance Code CHAPTER 1356. LOW-DOSE MAMMOGRAPHY

INSURANCE CODE

CHAPTER 1356. LOW-DOSE MAMMOGRAPHY


	§ 1356.001. DEFINITION.  In this chapter, "low-dose 
mammography" means the x-ray examination of the breast using 
equipment dedicated specifically for mammography, including an 
x-ray tube, filter, compression device, screens, films, and 
cassettes, with an average radiation exposure delivery of less than 
one rad mid-breast, with two views for each breast.

Added by Acts 2003, 78th Leg., ch. 1274, § 3, eff. April 1, 2005.          


	§ 1356.002. APPLICABILITY OF CHAPTER.  This chapter 
applies only to a health benefit plan that is delivered, issued for 
delivery, or renewed in this state and that is an individual or 
group accident and health insurance policy, including a policy 
issued by a group hospital service corporation operating under 
Chapter 842.

Added by Acts 2003, 78th Leg., ch. 1274, § 3, eff. April 1, 2005.          


	§ 1356.003. APPLICABILITY OF GENERAL PROVISIONS OF OTHER 
LAW.  The provisions of Chapter 1201, including provisions 
relating to the applicability, purpose, and enforcement of that 
chapter, construction of policies under that chapter, rulemaking 
under that chapter, and definitions of terms applicable in that 
chapter, apply to this chapter.

Added by Acts 2003, 78th Leg., ch. 1274, § 3, eff. April 1, 2005.          


	§ 1356.004. EXCEPTION.  This chapter does not apply to a 
plan that provides coverage only for a specified disease or for 
another limited benefit.

Added by Acts 2003, 78th Leg., ch. 1274, § 3, eff. April 1, 2005.          


	§ 1356.005. COVERAGE REQUIRED.  (a) A health benefit plan 
that provides coverage to a female who is 35 years of age or older 
must include coverage for an annual screening by low-dose 
mammography for the presence of occult breast cancer.
	(b)  Coverage required by this section:                                        
		(1)  may not be less favorable than coverage for other 
radiological examinations under the plan;  and
		(2)  must be subject to the same dollar limits, 
deductibles, and coinsurance factors as coverage for other 
radiological examinations under the plan.

Added by Acts 2003, 78th Leg., ch. 1274, § 3, eff. April 1, 2005.