2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 514C - SPECIAL HEALTH AND ACCIDENT INSURANCE COVERAGES
514C.4 - MANDATED COVERAGE FOR MAMMOGRAPHY.

        514C.4  MANDATED COVERAGE FOR MAMMOGRAPHY.
         1.  A policy or contract providing for third-party payment or
      prepayment of health or medical expenses shall provide minimum
      mammography examination coverage, including, but not limited to, the
      following classes of third-party payment provider contracts or
      policies delivered, issued for delivery, continued, or renewed in
      this state.
         a.  Individual or group accident and sickness insurance
      providing coverage on an expense-incurred basis.
         b.  An individual or group hospital or medical service
      contract issued pursuant to chapter 509, 514, or 514A.
         c.  An individual or group health maintenance organization
      contract regulated under chapter 514B.
         d.  An individual or group Medicare supplemental policy,
      unless coverage pursuant to such policy is preempted by federal law.

         A long-term care policy or contract is specifically excluded from
      regulation under this section.
         2.  As used in this section, "minimum mammography examination
      coverage" means benefits which are better than or equal to the
      following minimum requirements:
         a.  One baseline mammogram for any woman who is thirty-five
      through thirty-nine years of age, or more frequent mammograms if
      recommended by the woman's physician.
         b.  A mammogram every two years for any woman who is forty
      through forty-nine years of age, or more frequently if recommended by
      the woman's physician.
         c.  A mammogram every year for any woman who is fifty years of
      age or older, or more frequently if recommended by the woman's
      physician.
         3.  Mammogram benefits may be subject to any policy or contract
      provisions which apply generally to other services covered by the
      policy or contract.
         4.  The commissioner of insurance shall adopt rules under chapter
      17A necessary to implement this section.  

         89 Acts, ch 289, § 1; 92 Acts, ch 1162, §32, 33; 2003 Acts, ch
      135, §1--3