{"data":{"id":"us-ok/okla.-stat.-tit.-36-36-6060","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 36, § 36-6060","heading":"Mammography screening and diagnostic examination","body":"A. For the purposes of this section:\n\n1. \"Breast magnetic resonance imaging\" means a diagnostic tool\n\nused to produce detailed pictures of the structure of the breast;\n\n2. \"Breast ultrasound\" means a noninvasive, diagnostic imaging\n\ntechnique that uses high-frequency sound waves to produce detailed\n\nimages of the breast;\n\n3. \"Diagnostic examination for breast cancer\" means a medically\n\nnecessary and clinically appropriate examination, as defined by\n\ncurrent guidelines and as determined by a clinician who is\n\nevaluating the individual for breast cancer, to evaluate the\n\nabnormality in the breast that is:\n\na. seen or suspected from a screening examination for\n\nbreast cancer,\n\nb. detected by another means of examination, or\n\nc. suspected based on the medical history or family\n\nmedical history of the individual.\n\nThis examination may include, but is not limited to, a contrast–\n\nenhanced mammogram, diagnostic mammogram, breast magnetic resonance\n\nimaging, a breast ultrasound, or molecular breast imaging;\n\n4. \"Diagnostic mammography\" means a diagnostic tool that:\n\na. uses X-ray, and\n\nb. is designed to evaluate abnormality in a breast;\n\n5. \"Health benefit plan\" means any plan or arrangement as\n\ndefined in subsection C of Section 6060.4 of this title;\n\n6. \"Low-dose mammography\" means:\n\na. the X-ray examination of the breast using equipment\n\nspecifically dedicated for such purpose, with an\n\naverage radiation exposure delivery of less than one\n\nrad mid-breast and with two views for each breast,\n\nb. digital mammography, or\n\nc. breast tomosynthesis;\n\n7. \"Breast tomosynthesis\" means a radiologic mammography\n\nprocedure involving the acquisition of projection images over a\n\nstationary breast to produce cross-sectional digital three-\n\ndimensional images of the breast from which breast cancer screening\n\ndiagnoses may be made;\n\n8. \"Screening mammography\" means a radiologic procedure\n\nprovided to a woman, who has no signs or symptoms of breast cancer,\n\nfor the purpose of early detection of breast cancer, including\n\nbreast tomosynthesis; and\n\n9. \"Supplemental examination\" means a medically necessary and\n\nappropriate examination of the breast, including, but not limited\n\nto, such an examination using contrast–enhanced mammography, breast\n\nmagnetic resonance imaging, breast ultrasound, or molecular breast\n\nimaging that is:\n\na. used to screen for breast cancer when there is no\n\nabnormality seen or suspected, and\n\nb. based on personal or family medical history or\n\nadditional factors that increase the individual's risk\n\nof breast cancer, including heterogeneously or\n\nextremely dense breasts.\n\nB. All health benefit plans shall include the coverage\n\nspecified by this section for a low-dose mammography screening for\n\nthe presence of occult breast cancer and a diagnostic and\n\nsupplemental examination for breast cancer. Such coverage shall\n\nnot:\n\n1. Be subject to the policy deductible, co-payments and co-\n\ninsurance limits of the plan; or\n\n2. Require that a female undergo a mammography screening at a\n\nspecified time as a condition of payment.\n\nC. 1. Any female thirty-five (35) through thirty-nine (39)\n\nyears of age shall be entitled pursuant to the provisions of this\n\nsection to coverage for a low-dose mammography screening once every\n\nfive (5) years.\n\n2. Any female forty (40) years of age or older shall be\n\nentitled pursuant to the provisions of this section to coverage for\n\nan annual low-dose mammography screening.\n\nD. If application of this act would result in health savings\n\naccount ineligibility under Section 223 of the federal Internal\n\nRevenue Code, as amended, the provisions of this section shall only\n\napply to health savings accounts with qualified high deductible\n\nhealth plans with respect to the deductible of such a plan after the\n\nenrollee has satisfied the minimum deductible. Provided, however,\n\nthe provisions of this section shall apply to items of services that\nunt ineligibility under Section 223 of the federal Internal\n\nRevenue Code, as amended, the provisions of this section shall only\n\napply to health savings accounts with qualified high deductible\n\nhealth plans with respect to the deductible of such a plan after the\n\nenrollee has satisfied the minimum deductible. Provided, however,\n\nthe provisions of this section shall apply to items of services that\n\nare preventive care pursuant to Section 223(c)(2)(c) of the federal\n\nInternal Revenue Code, as amended, regardless of whether the minimum\n\ndeductible has been satisfied.","path":["OK Code","Title 36"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os36.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"16048d77d99c1d65f4306fe412cbfeb03f900377f1bb2c1eabf3061bb2d4819a","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-36-36-606.1","next":"us-ok/okla.-stat.-tit.-36-36-6060.1"},"notice":"GroundRules: Original legal text. Not legal advice."}