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  • Legislation and Regulations - What is required?

dense breast legislationLEGISLATION AND REGULATIONS - WHAT IS REQUIRED?

 Notification required by state

  • NEWS, Feb 15, 2019: It is now law in the United States that the Food and Drug Administration (FDA) develop breast density reporting language that must be included in patient letters and health care provider reports. Exact language and effective date are not yet available; once the requirement details are in effect, it would set a minimum standard for all U.S. states. Learn more HERE.
  • Currently 37 states 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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