Breast reconstruction coverage.

Summary

The bill would require state employee health plans, accident‑and‑sickness policies, and HMO contracts to pay for breast reconstruction surgery, any technique used, and related prosthetic devices, and to maintain an adequate network of reconstruction surgeons. It also prevents a utilization review entity from denying a claim that has prior authorization unless it can formally prove provider fraud. The goal is to bring state coverage in line with federal standards and improve access for women who have had a mastectomy.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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