,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bdfd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #be1 #bjbc,mrs4  
,%ahe5 7= h]self & ,mrs4 ,britt7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d title ,,xxvii ( !   
,public ,heal? ,s]vice ,act to prohibit 
gr\p heal? plans & heal? insurance      
issu]s (f]+ gr\p or individual heal?    
insurance cov]age f impos+ co/-%>+      
requirem5ts ) respect to diagno/ic &    
supplem5tal brea/ exam9ations4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,access to ,brea/ ,canc] ,diagnosis ,act
 ( #bjbc4  #b4 ,requir+ diagno/ic &     
supplem5tal brea/ exam9ations to be     
cov]$ ) no co/-%>+ requirem5ts  7a7 ,9  
g5]al ,subp>t ,,ii ( "p ,a ( title      
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is  
am5d$ by add+ at ! end ! foll[+ new     
section3  #bgcj4 ,diagno/ic &           
supplem5tal brea/ exam9ations  7a7 ,9   

g5]al ,9 ! case ( a gr\p heal? plan1 or 
a heal? insurance issu] (f]+ gr\p or    
individual heal? insurance cov]age1 t   
provides b5efits ) respect to diagno/ic 
& supplem5tal brea/ exam9ations furni%$ 
to an individual enroll$ "u su* plan or 
su* cov]age1 su* plan or cov]age %all n 
impose any co/-%>+ requirem5ts = ^!     
b5efits4  7b7 ,con/ruction ,no?+ 9 ?is  
section %all be con/ru$-- 7#a7 to       
prohibit a gr\p heal? plan or heal?     
insurance issu] f requir+ timely prior  
au?orization or impos+ o!r appropriate  
utilization controls 9 approv+ cov]age =
 any diagno/ic & supplem5tal brea/      
exam9ation2 or  7#b7 to sup]s$e a ,/ate 
law t provides great] protections )     
respect to ! cov]age ( diagno/ic &      
supplem5tal brea/ exam9ations ?an is    
provid$ "u ?is section4  7c7 ,def9itions
 ,9 ?is section3 7#a7 ,co/-%>+          
requirem5ts ,! t]m co/-%>+ requirem5ts  
means a d$uctible1 co9surance1 copaym5t1
 & any maximum limitation on !          
application ( su* a d$uctible1          

co9surance1 copaym5t or simil>          
out-(-pocket exp5se4  7#b7 ,diagno/ic   
brea/ exam9ation ,! t]m diagno/ic brea/ 
exam9ation means a m$ically necess>y &  
appropriate 79 accordance ) ,national   
,compreh5sive ,canc] ,network           
,guidel9es7 exam9ation ( ! brea/        
7includ+1 b n limit$ to su* an          
exam9ation us+ diagno/ic mammography1   
brea/ magnetic resonance imag+1 or brea/
 ultras\nd7 t is-- 7,a7 us$ to evaluate 
an abnormality se5 or suspect$ f a      
scre5+ exam9ation = brea/ canc]2 or     
7,b7 us$ to evaluate an abnormality     
detect$ by ano!r means ( exam9ation4    
7#c7 ,supplem5tal brea/ exam9ations ,!  
t]m supplem5tal brea/ exam9ation means a
 m$ically necess>y & appropriate 79     
accordance ) ,national ,compreh5sive    
,canc] ,network ,guidel9es7 exam9ation (
 ! brea/ 7includ+1 b n limit$ to su* an 
exam9ation us+ brea/ magnetic resonance 
imag+ or brea/ ultras\nd7 t is-- 7,a7   
us$ to scre5 = brea/ canc] :5 !re is no 
abnormality se5 or suspect$2 &  7,b7    

furni%$ bas$ on p]sonal or family m$ical
 hi/ory or additional factors t may     
increase ! individual's risk ( brea/    
canc]4  4  7b7 ,application to gr&fa!r$ 
heal? plans ,section #abea7;a77#d77;,a7 
( ! ,pati5t ,protection & ,af=dable ,c>e
 ,act 7#db ,u4,s4,c4                    
#ahjaa7;a77#d77;,a77 is am5d$-- 7#a7 by 
/rik+ title & ins]t+ title1 or z add$   
aft] ! date ( ! enactm5t ( ?is ,act2 &  
7#b7 by add+ at ! end ! foll[+ new      
clause3  7v7 ,section #bgcj 7relat+ to  
cov]age = diagno/ic & supplem5tal brea/ 
exam9ations74  4  7c7 ,application to   
high d$uctible heal? plans ) heal? sav+s
 acc\nt eligibility ,section            
#bbc7;c77#b7 ( ! ,int]nal ,rev5ue ,code 
( #aihf is am5d$ by add+ at ! end !     
foll[+3  7,h7 ,safe h>bor = abs5ce (    
d$uctible = diagno/ic & supplem5tal     
brea/ exam9ations ,9 ! case ( plan ye>s 
beg9n+ on or aft] ,janu>y #a1 #bjbd1 a  
plan %all n fail to be treat$ z a high  
d$uctible heal? plan by reason ( fail+  
to h a d$uctible = diagno/ic &          

supplem5tal brea/ exam9ations4  4  7d7  
,effective date ,! am5dm5ts made by ?is 
section %all apply ) respect to plan    
ye>s beg9n+ on or aft] ,janu>y #a1      
#bjbd4