Insurance; utilization review by an insurer shall not be required in the instance in which a physician has determined the existence of dense breast tissue and the medical necessity of a breast ultrasound; provide

Plain English Breakdown

The bill status shows it passed both chambers and reached final enrollment, but no effective date is listed in the provided metadata.

HB928: Breast Ultrasound Coverage for Dense Breasts

This bill stops insurance companies from requiring extra approval steps before paying for breast ultrasounds when a doctor says they are needed because of dense breast tissue.

What This Bill Does

• Removes the requirement for insurers to do utilization review for certain breast ultrasounds.
• Applies this rule only when a physician finds dense breast tissue and decides an ultrasound is medically necessary.

Limits and Unknowns

• The official text does not state the specific date the bill will take effect.
• The provided summary mentions providing definitions but does not list what those terms mean.

Official Summary Text

Insurance; utilization review by an insurer shall not be required in the instance in which a physician has determined the existence of dense breast tissue and the medical necessity of a breast ultrasound; provide