Rep. Greg Harris
Filed: 4/17/2007
 
 

 




 

 		












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AMENDMENT TO HOUSE BILL 147




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    AMENDMENT NO. ______. Amend House Bill 147, AS AMENDED, in 
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Section 2, Sec. 2310-345, subsection (a), in the sentence 
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beginning "The summary shall include", by replacing 
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"self-examination and diagnostic radiology" with 
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"self-examination, clinical breast exams, and diagnostic 
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radiology"; and

 
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in Section 2, Sec. 2310-345, subsection (c), in the sentence 
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beginning "The summary shall include", by replacing "100% 
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effective and (ii)" with "100% effective, (ii) the benefits of 
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clinical breast exams, and (iii)
and (ii)"; and
 
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in Section 2, Sec. 2310-345, by replacing all of subsection 
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(c-5) with the following:
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    "(c-5) The summary shall specifically address the benefits

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of early detection and review the clinical standard 
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recommendations by the Centers for Disease Control and 
 


 






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Prevention and the American Cancer Society for mammography, 
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clinical breast exams, and breast self-exams.
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    (c-10) The summary shall also inform individuals that 
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public and private insurance providers shall pay for clinical 
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breast exams as part of an exam, as indicated by guidelines of 
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practice."; and
 
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in Section 5, by replacing all of Sec. 356g.5 with the 
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following:
 
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    (215 ILCS 5/356g.5  new)
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    Sec. 356g.5. Clinical breast exam.
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    (a) The General Assembly finds that clinical breast 
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examinations are a critical tool in the early detection of 
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breast cancer, while the disease is in its earlier and 
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potentially more treatable stages. Insurer reimbursement of 
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clinical breast examinations is essential to the effort to 
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reduce breast cancer deaths in Illinois.
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    (b) Every insurer shall provide, in each group or 
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individual policy, contract, or certificate of accident or 
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health insurance issued or renewed for persons who are 
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residents of Illinois, coverage for complete and thorough 
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clinical breast examinations as indicated by guidelines of 
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practice, performed by a physician licensed to practice 
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medicine in all its branches, an advanced practice nurse who 
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has a collaborative agreement with a collaborating physician 
 


 






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that authorizes breast
examinations, or a physician assistant 
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who has been delegated authority to provide breast 
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examinations, to check for lumps and other changes for the 
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purpose of early detection and prevention of breast cancer as 
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follows:
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        (1) at least every 3 years for women at least 20 years 
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    of age but less than 40 years of age; and
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        (2) annually for women 40 years of age or older.
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    (c) Upon approval of a nationally recognized separate and 
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distinct clinical breast exam code that is compliant with all 
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State and federal laws, rules, and regulations, public and 
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private insurance plans shall take action to cover clinical 
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breast exams on a separate and distinct basis.".