CHAPTER 1356. LOW-DOSE MAMMOGRAPHY - Texas Statutes

INSURANCE CODE

TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES

SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES

CHAPTER 1356. LOW-DOSE MAMMOGRAPHY

Sec. 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, Sec. 3, eff. April 1,

2005.

Sec. 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, Sec. 3, eff. April 1,

2005.

Sec. 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, Sec. 3, eff. April 1,

2005.

Sec. 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, Sec. 3, eff. April 1,

2005.

Sec. 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, Sec. 3, eff. April 1,

2005.