PA Breast Cancer Coalition’s Act 52 of 2020 / Senate Bill 595
Beginning January 1, 2022, all insurers are required to cover breast MRIs and ultrasounds for women insured under Pennsylvania law with high-risk conditions. The requirements are a result of the PA Breast Cancer Coalition’s Act 52 of 2020 (Senate Bill 595), sponsored by PA Sen. Bob Mensch. As your existing insurance policy expires, under law the new version will be required to cover breast MRIs and ultrasounds for women with:
- A personal history of breast cancer
- A family history of breast cancer
- A genetic predisposition to breast cancer
- Extremely dense breast tissue
- Heterogeneously dense breast tissue with 1 additional high-risk factor
Co-pays, deductibles and co-insurance may still apply.