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    Document Summary
    - Report Published -

    Senate Document No. 11
    PUBLICATION YEAR 1995

    Document Title
    Mandated Coverage for Reconstructive Mammoplasty

    Author
    Special Advisory Commission on Mandated Health Insurance Benefits

    Enabling Authority
    § 9-298

    Executive Summary
    House Bill 182 requires insurers, health services plans, and health maintenance organizations to provide coverage to Virginia policyholders for reconstructive reduction mamoplasty performed to relieve signs and symptoms of macromastia. The provisions of this bill do not apply to short-term travel, accident only, limited or specified disease policies, or to short-term nonrenewable polices of not more than six month's duration.

    Respondents to staff's insurer survey have expressed concern that House Bill 182, as currently drafted, does not include a clinical definition of macromastia and does not expressly limit coverage to "medically necessary" services and procedures.