An Act Relating to Insurance Coverage for Screening Mammograms
Maine Legislature, Session 129, LD 1264
Committee: Health Coverage, Insurance and Financial Services
Sponsors: BREEN
Amends: 24 MRSA §2320-A, 24-A MRSA §2745-A, 24-A MRSA §2837-A, 24-A MRSA §4237-A

Legislative Document
No. 1264
S.P. 384
In Senate, March 14, 2019
An Act Relating to Insurance Coverage for Screening 
Mammograms
Reference to the Committee on Health Coverage, Insurance and Financial Services 
suggested and ordered printed.
DAREK M. GRANT
Secretary of the Senate
Presented by Senator BREEN of Cumberland.
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  24 MRSA §2320-A, sub-§1, as enacted by PL 1989, c. 875, Pt. I, §2, is 
amended to read:
1.  Definition.  For purposes of this section, "screening mammogram" means a 
radiologic procedure that is provided to an asymptomatic woman for the purpose of early 
detection of breast cancer and that consists of 2 radiographic views per breast or, 
beginning January 1, 2020, 3-dimensional tomosynthesis.
Sec. 2.  24-A MRSA §2745-A, sub-§1, as amended by PL 2007, c. 153, §1 and 
affected by §5, is further amended to read:
1.  Definition.  For purposes of this section, "screening mammogram" means a 
radiologic procedure that is provided to an asymptomatic woman for the purpose of early 
detection of breast cancer and that consists of 2 radiographic views per breast or, 
beginning January 1, 2020, 3-dimensional tomosynthesis.  A screening mammogram also 
includes an additional radiologic procedure recommended by a provider when the results 
of an initial radiologic procedure are not definitive.
Sec. 3.  24-A MRSA §2837-A, sub-§1, as amended by PL 2007, c. 153, §2 and 
affected by §5, is further amended to read:
1.  Definition.  For purposes of this section, "screening mammogram" means a 
radiologic procedure that is provided to an asymptomatic woman for the purpose of early 
detection of breast cancer and that consists of 2 radiographic views per breast or, 
beginning January 1, 2020, 3-dimensional tomosynthesis. A screening mammogram also 
includes an additional radiologic procedure recommended by a provider when the results 
of an initial radiologic procedure are not definitive.
Sec. 4.  24-A MRSA §4237-A, sub-§1, as amended by PL 2007, c. 153, §3 and 
affected by §5, is further amended to read:
1.  Definition.  For purposes of this section, "screening mammogram" means a 
radiologic procedure that is provided to an asymptomatic woman for the purpose of early 
detection of breast cancer and that consists of 2 radiographic views per breast or, 
beginning January 1, 2020, 3-dimensional tomosynthesis.  A screening mammogram also 
includes an additional radiologic procedure recommended by a provider when the results 
of an initial radiologic procedure are not definitive.
Sec. 5.  Reimbursement.  Beginning January 1, 2020, health insurance 
reimbursement pursuant to the Maine Revised Statutes, Title 24, section 2320-A or Title 
24-A, section 2745-A, 2837-A or 4237-A must reflect the resource costs specific to each 
modality, including any increased resource cost of breast tomosynthesis.
SUMMARY
This bill amends the definition of "screening mammogram" to include 3-dimensional 
tomosynthesis for purposes of required health insurance coverage and reimbursement by 
individual plans, group plans, health maintenance organizations and nonprofit hospital 
and medical service organizations.