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Bill

SB 1747

Relating to coverage for screening mammograms, diagnostic imaging, and supplemental breast examinations under certain health benefit plans.

89th Legislature (2025) Introduced by Carol Alvarado and 1 co-sponsor

Texas bill mandates health insurance coverage for screening mammograms, diagnostic imaging, and supplemental breast exams to improve cancer detection access.

Referred to Health & Human Services
#diagnosticimagingservices(s0581) #insurance--health&accident(i0422) #mammography(s6017) #women(i0925)
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Bill Summary · SB 1747

Legislative bill overview

SB 1747 would mandate coverage for screening mammograms, diagnostic imaging, and supplemental breast examinations under certain Texas health benefit plans. The bill appears to expand or clarify insurance coverage requirements for various types of breast cancer detection procedures beyond standard preventive care requirements.

Why is this important

Breast cancer screening access directly affects early detection rates and health outcomes, particularly for underinsured populations. Insurance coverage mandates can significantly impact healthcare costs for insurers and may influence premium pricing while improving preventive care accessibility.

Potential points of contention

  • Cost and premium impact: Expanded coverage mandates typically increase insurance costs; debate over who bears these expenses (insurers, employers, or individuals through higher premiums)
  • Medical necessity standards: Disagreement may exist over which supplemental examinations (such as ultrasound or MRI) constitute necessary coverage versus elective procedures based on individual risk factors
  • Scope of applicability: Uncertainty about which health plans are covered (individual, group, HMOs, preferred provider organizations) and whether exemptions apply to certain plan types or employers

Compiled from official sources — confirm details with the bill’s official record.

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