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  • Legislation and Regulations - What is required?

dense breast legislationLEGISLATION AND REGULATION 

 Notification required by state

  • March 28, 2019: The FDA has announced important new steps to modernize breast cancer screening and help empower patients with information when they are considering important decisions regarding their breast health care. The amendment includes the requirement of breast density reporting to both patients and referring health providers. DB-I has analyzed the proposed language and submitted comments to the FDA during the designated “open for public comment” period. To learn more click HERE
  • Currently 38 states and the District of Columbia require some level of breast density notification after a mammogram (not including Indiana's law). Please note, not all laws require a patient be informed about her own breast density; some laws require only general notification about breast density.
  • 3 states (IN, ME, ND) have efforts for breast density reporting/education that do not require notification.
  • Though some state laws are more similar than others, there is no standard from state-to-state on what patients are told or how patients will be informed.

Insurance Coverage – Denoted by a on the map

  • If there is a state insurance law, are all women covered? NO. A state insurance law does not necessarily apply to all policies within the state. Further, national insurance providers may be exempt from state laws.
  • If there is no state insurance law, or if a plan is exempt from state law, might additional testing be covered? YES. While indicated states have some level of insurance coverage, generally, in other states, additional screening will be covered (subject to deductible/copay) if ordered by a physician.
NOTE: Check with your insurance company regarding details of your coverage.

Interactive map features reporting guidelines by state. Click here for data in TABLE format.

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