Practice Management

 View Only

Georgia - Cost-sharing requirements for diagnostic and supplemental breast screening examinations

  • 1.  Georgia - Cost-sharing requirements for diagnostic and supplemental breast screening examinations

    Posted 05-22-2023 11:34

    Good morning,

     

    To those that are located in GA, how do you interpret Bill ID GA HB 315?

     

    Is this saying diagnostic/screening breast cancer exams (breast ultrasounds, MRIs, and diagnostic mammograms) should not have any cost-sharing to the patient, like screening mammograms?

     

    Per the bill – Section 45 (b)

    "A health benefit policy that provides coverage for diagnostic examinations for breast cancer shall include provisions that ensure that the cost-sharing requirements applicable to diagnostic and supplemental breast screening examinations are no less favorable than the cost-sharing requirements applicable to screening mammography for breast cancer."

     

     

    Bill ID:

    GA HB 315

    Location:

    Georgia

    Title:

    Commissioner of Insurance; promulgate rules and regulations regarding cost-sharing requirements for diagnostic and supplemental breast screening examinations; provide

    Description:

    A BILL to be entitled an Act to amend Chapter 24 of Title 33 of the Official Code of Georgia Annotated, relating to insurance generally, so as to provide for the Commissioner of Insurance to promulgate rules and regulations regarding cost-sharing requirements for diagnostic and supplemental breast screening examinations; to revise definitions; to provide for related matters; to provide for an effective date and applicability; to repeal conflicting laws; and for other purposes.

    Status:

    Passed

    Last Action:

    Act 229. May 02, 2023

    Introduction Date:

    February 09, 2023

    Priority:

    None

    Position:

    None

     

     

     

     

    Christy Hembree, CPC
    Director of RCM: Coding & Compliance  

     

    Summit Radiology Services

    P |770-607-7339 ex 220   F | 678-929-5507  

    PO Box 200096 Cartersville, Georgia | 30120
    summitrad.net.

    Upcoming PTO: 06/05-06/18

    This e-mail and any attachments may contain confidential information subject to protection under the Federal Standards for Privacy of Individually Identifiable Health Information (45 C.F.R. Parts 160 and 164).  If you or your organization is a "Covered Entity" under the above-mentioned regulations, you are obligated to treat such information in a manner consistent with the regulations.  If it appears that this e-mail was sent to you in error, (1) you are prohibited from utilizing or disseminating this e-mail or any attachments; (2) please immediately delete it from your computer and any servers or other locations where it might be stored and e-mail the sender or call 770-607-7339 advising that you have done so.  We appreciate your cooperation.