Full Text of HB0147 95th General Assembly
HB0147ham003 95TH GENERAL ASSEMBLY
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Rep. Greg Harris
Filed: 4/17/2007
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09500HB0147ham003 |
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LRB095 03747 DRJ 34823 a |
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| AMENDMENT TO HOUSE BILL 147
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| AMENDMENT NO. ______. Amend House Bill 147, AS AMENDED, in | 3 |
| Section 2, Sec. 2310-345, subsection (a), in the sentence | 4 |
| beginning "The summary shall include", by replacing | 5 |
| "self-examination and diagnostic radiology" with | 6 |
| "self-examination , clinical breast exams, and diagnostic | 7 |
| radiology"; and
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| in Section 2, Sec. 2310-345, subsection (c), in the sentence | 9 |
| beginning "The summary shall include", by replacing "100% | 10 |
| effective and (ii)" with "100% effective , (ii) the benefits of | 11 |
| clinical breast exams, and (iii)
and (ii) "; and | 12 |
| in Section 2, Sec. 2310-345, by replacing all of subsection | 13 |
| (c-5) with the following: | 14 |
| " (c-5) The summary shall specifically address the benefits
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| of early detection and review the clinical standard | 16 |
| recommendations by the Centers for Disease Control and |
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LRB095 03747 DRJ 34823 a |
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| Prevention and the American Cancer Society for mammography, | 2 |
| clinical breast exams, and breast self-exams. | 3 |
| (c-10) The summary shall also inform individuals that | 4 |
| public and private insurance providers shall pay for clinical | 5 |
| breast exams as part of an exam, as indicated by guidelines of | 6 |
| practice. "; and | 7 |
| in Section 5, by replacing all of Sec. 356g.5 with the | 8 |
| following: | 9 |
| (215 ILCS 5/356g.5 new) | 10 |
| Sec. 356g.5. Clinical breast exam. | 11 |
| (a) The General Assembly finds that clinical breast | 12 |
| examinations are a critical tool in the early detection of | 13 |
| breast cancer, while the disease is in its earlier and | 14 |
| potentially more treatable stages. Insurer reimbursement of | 15 |
| clinical breast examinations is essential to the effort to | 16 |
| reduce breast cancer deaths in Illinois. | 17 |
| (b) Every insurer shall provide, in each group or | 18 |
| individual policy, contract, or certificate of accident or | 19 |
| health insurance issued or renewed for persons who are | 20 |
| residents of Illinois, coverage for complete and thorough | 21 |
| clinical breast examinations as indicated by guidelines of | 22 |
| practice, performed by a physician licensed to practice | 23 |
| medicine in all its branches, an advanced practice nurse who | 24 |
| has a collaborative agreement with a collaborating physician |
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| that authorizes breast
examinations, or a physician assistant | 2 |
| who has been delegated authority to provide breast | 3 |
| examinations, to check for lumps and other changes for the | 4 |
| purpose of early detection and prevention of breast cancer as | 5 |
| follows: | 6 |
| (1) at least every 3 years for women at least 20 years | 7 |
| of age but less than 40 years of age; and | 8 |
| (2) annually for women 40 years of age or older. | 9 |
| (c) Upon approval of a nationally recognized separate and | 10 |
| distinct clinical breast exam code that is compliant with all | 11 |
| State and federal laws, rules, and regulations, public and | 12 |
| private insurance plans shall take action to cover clinical | 13 |
| breast exams on a separate and distinct basis. ".
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