31A-22-630.1. Mobile mammography screening coverage.
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Effective 1/1/2027
31A-22-630.1. Mobile mammography screening coverage.
(1)As used in this section:
(a)"Approved mobile mammography unit" means a mobile mammography bus or vehicle that is:
(i)equipped with mammography equipment to perform a mobile mammography screening; and
(ii)approved by an accrediting body designated by the federal Food and Drug Administration to perform mammography screenings.
(b)"Rural area" means a county of the third, fourth, fifth, or sixth class as classified under Section 17-60-104 .
(2)A health benefit plan that covers a mammography screening shall provide coverage of a mobile mammography screening if the mobile mammography screening is performed:
(a)by an approved mobile mammography unit; and
(b)in a rural area.
(3)Coverage described in Subsection
(2)shall reimburse the approved mobile mammography unit at the same rate that a health benefit plan reimburses for an in-network mammography screening performed in another setting.
(4)An approved mobile mammography unit:
(a)shall accept the amount reimbursed in Subsection
(3)and any applicable enrollee cost sharing as payment in full; and
(b)may only provide mammography screening services for an enrollee in accordance with the United States Preventative Services Task Force Guidelines on age and frequency.
Enacted by Chapter 152 , 2026 General Session