§432:1-605 Mammogram screening. (a) Notwithstanding any provision to the contrary, each policy, contract, plan, or agreement issued on or after February 1, 1991, except for policies that only provide coverage for specified diseases or other limited benefit coverage, but including policies issued by companies subject to chapter 431, article 10A, part II and chapter 432, article 1 shall provide coverage for screening by low-dose mammography for occult breast cancer as follows:
(1) For women forty years of age and older, an annual mammogram; and
(2) For a woman of any age with a history of breast cancer or whose mother or sister has had a history of breast cancer, a mammogram upon the recommendation of the woman's physician.
(b) The services provided in subsection (a) are subject to any coinsurance provisions that may be in force in these policies, contracts, plans, or agreements.
(c) For purposes of this section, "low-dose mammography" means the x-ray examination of the breast using equipment dedicated specifically for mammography, including but not limited to the 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.
(d) An insurer may provide the services required by this section through contracts with providers; provided that the contract is determined to be a cost-effective means of delivering the services without sacrifice of quality and meets the approval of the director of health. [L 1990, c 112, §3; am L 1994, c 279, §3; am L 1999, c 13, §3]
Note
Director of health to monitor the mammogram screening services to assure that the demand for screening does not exceed the ability of the medical community to safely provide the services. L 1990, c 112, §5.
Cross References
Sunset evaluations modified, see § §26H-4, 26H-5.
Structure Hawaii Revised Statutes
432:1-101.5 Disclosure of health care coverage and benefits.
432:1-101.6 Policies relating to domestic abuse cases.
432:1-102 Applicability of other laws.
432:1-103 Applicability of this article to existing societies and union mutual benefit societies.
432:1-104.5 Bona fide trade associations.
432:1-107 Federal law compliance.
432:1-201 Incorporation by charter.
432:1-202 Constitution and bylaws; officers; government of society.
432:1-203 Actions or proceedings.
432:1-301 Registration with commissioner: certificate of registration and certificate of authority.
432:1-302 Commissioner refusal to authorize certificate or solicitation; appeal to circuit court.
432:1-303 Authority to offer death, sick, disability, or other benefits; conditions.
432:1-306 Authority to offer death, sick, disability, or other benefits; deposit or bond.
432:1-308 Suspension, revocation, or denial of certificate of authority.
432:1-402 Investments of certain mutual benefit societies.
432:1-403 Nonprofit medical, hospital indemnity associations; tax exemption.
432:1-407 Protection against insolvency.
432:1-408 Uncovered expenditures insolvency deposit.
432:1-409 Rehabilitation, liquidation, or conservation of mutual benefit societies.
432:1-410 Reserve credit for reinsurance.
432:1-501 Examination by commissioner, assistance of other officers.
432:1-502 Summary orders and supervision.
432:1-503 Closing of doors without notice.
432:1-601 Contract limitations for handicapped children and children with intellectual disabilities.
432:1-601.5 Coverage for telehealth.
432:1-602 Newborn children coverage.
432:1-602.6 Newborn adoptee; coverage.
432:1-603 Reimbursement for psychological services.
432:1-604 In vitro fertilization procedure coverage.
432:1-604.5 Contraceptive services.
432:1-605 Mammogram screening.
432:1-605.5 Mammograms; referral not required.
432:1-606 Qualified medical child support order.
432:1-607 Genetic information nondiscrimination in health insurance coverage.
432:1-608 Hospice care coverage.
432:1-610 Federally funded programs; exemption.
432:1-613 Orthodontic services for orofacial anomalies; benefits and coverage; notice.
432:1-614 Autism benefits and coverage; notice; definitions.
432:1-615 Primary care provider; advanced practice registered nurse.
432:1-617 Colon cancer screening coverage.
432:1-618 Human immunodeficiency virus and acquired immunodeficiency syndrome screening coverage.
432:1-620 Formulary; accessibility requirements.
432:1-621 Medication synchronization; proration; dispensing fees.
432:1-622 Extension of dependent coverage.
432:1-623 Prohibition of preexisting condition exclusions.
432:1-624 Prohibited discrimination in premiums or contributions.
432:1-625 Reimbursement to providers.
432:2-102 Applicability of other laws.
432:2-103.5 Policies relating to domestic abuse cases.
432:2-104 Fraternal benefit societies.
432:2-106 Representative form of government.
432:2-107 Purposes and powers.
432:2-201 Qualifications for membership.
432:2-202 Location of office, meetings, communications to members, grievance procedures.
432:2-203 No personal liability.
432:2-305 Consolidations and mergers.
432:2-306 Conversion of fraternal benefit society into mutual life insurance company.
432:2-403 Benefits not attachable.
432:2-404 The benefit contract.
432:2-404.5 Genetic information nondiscrimination in health insurance coverage.
432:2-405 Nonforfeiture benefits, cash surrender values, certificate loans and other options.
432:2-406 Mammogram coverage required; referral not required.
432:2-410 Primary care provider; advanced practice registered nurse.
432:2-604 Examination of societies; no adverse publications.
432:2-605 Foreign or alien society, admission.
432:2-606 Injunction, liquidation, receivership of domestic society.
432:2-607 Suspension, revocation or refusal of license of foreign or alien society.
432:2-609 Licensing of producers.
432:2-610 Unfair methods of competition and unfair and deceptive acts and practices.
432:2-611 Federal law compliance.