§ 15-814. Coverage for breast cancer screenings

   (a) Applicability. -- This section applies to:

   (1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis under health insurance policies or contracts that are issued or delivered in the State; and

   (2) health maintenance organizations that provide hospital, medical, or surgical benefits to individuals or groups under contracts that are issued or delivered in the State.

(b) Coverage required. -- An entity subject to this section shall provide coverage for breast cancer screening in accordance with the latest screening guidelines issued by the American Cancer Society.

(c) Exception. -- An entity subject to this section is not required to cover breast cancer screenings used to identify breast cancer in asymptomatic women that are provided by a facility that is not accredited by the American College of Radiology or certified or licensed under a program established by the State.

(d) Deductible prohibited. --

   (1) An entity subject to this section may not impose a deductible on the coverage required under this section.

   (2) Each health insurance policy and certificate issued by an entity subject to this section shall contain a notice of the prohibition established by paragraph (1) of this subsection in a form approved by the Commissioner.

HISTORY: An. Code 1957, art. 48A, § 354J, 470Z, 477JJ; 1997, ch. 35, § 2; 2009, ch. 670.