CHAPTER 1356. LOW-DOSE MAMMOGRAPHY
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.