Vt. passes expanded breast screening coverage bill

AuntMinnie.com staff writers
Jun 4, 2018

Vermont Gov. Phil Scott on May 21 signed into law HB 639, a bill that requires insurers in that state to cover additional breast imaging services without enforcing cost-sharing requirements.

By October, Vermont's Department of Financial Regulation will release a regulatory guidance outlining the coding structure for screening mammograms, ultrasound scans, and callback screenings, according to the bill.

The law goes into effect on January 1, 2019.

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Images in a 70-year-old asymptomatic woman with a prior excisional biopsy in the left breast yielding lobular carcinoma in situ 3 years earlier. Screening contrast-enhanced mammography (CEM) was performed, which was considered a prevalence screen as the woman had no prior breast MRI in the past 3 years and no prior CEM. (A) Low-energy (26–30 kVp) mediolateral oblique (MLO) and (B) craniocaudal (CC) views show surgical clips but no abnormality. (C) Recombined MLO and (D) CC images show an enhancing mass in the medial left breast (arrows). Biopsy revealed invasive lobular carcinoma. Size was 0.2 cm; tumor grade II/III; negative lymph nodes; and estrogen receptor–positive, progesterone receptor–positive, and human epidermal growth factor receptor 2–negative.
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