Section 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 all forms of low-dose mammography for the presence of occult breast cancer.(a-1) A health benefit plan that provides coverage for a screening mammogram must provide coverage for diagnostic imaging that is no less favorable than the coverage for a screening mammogram.(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.Tex. Ins. Code § 1356.005
Amended by Acts 2021, Texas Acts of the 87th Leg. - Regular Session, ch. 867,Sec. 3, eff. 9/1/2021, op. for a health benefit plan that is delivered, issued for delivery, or renewed on or after January 1, 2022.Amended by Acts 2019, Texas Acts of the 86th Leg.- Regular Session, ch. 1356,Sec. 3, eff. 9/1/2019.Amended by Acts 2017, Texas Acts of the 85th Leg. - Regular Session, ch. 816,Sec. 4, eff. 9/1/2017.Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005. See Acts 2019, Texas Acts of the 86th Leg.- Regular Session, ch. 1356, Sec. 6.