State

LEGISLATIVE PRIORITIES FOR 2019
PRIORITY #1

The Alamo Breast Cancer Foundation is urging continued support of the Breast and Cervical Cancer Services (BCCS) program, as well as support of funding for the Medicaid Breast and Cervical Cancer Treatment Act (MBCC). Beginning September 1, 2007 women receiving Medicaid through the Medicaid for Breast and Cervical Cancer (MBCC) program get their services from the STAR+Plan managed care program. People in the STAR+Plan program pick a health plan as well as a primary care provider or clinic. ABCF urges Texas legislators to protect the MBCC breast cancer treatment services with no additional costs for uninsured low-income women diagnosed with breast cancer.
PRIORITY 2
The Alamo Breast Cancer Foundation is urging support for the continuation of CPRIT beyond 2023 when it will stop making awards. In the interim we urge the Texas legislature to provide $164 million in general revenue support from 2020-2021. It is of upmost importance to Alamo Breast Cancer Foundation that citizens of Texas benefit from CPRIT innovative research projects focusing on immediate and translational outcomes leading to cures, and better treatments. The prevention and early detection services CPRIT provides reduces the risks of developing and dying from cancer. Protect the health and welfare of all Texans and support the  continuation of CPRIT.
PRIORITY 3
ABCF supports affordable and accessible health care for all Americans. Health insurance should not be denied because of a pre-existing condition. Individuals with a pre-existing condition should not be charged higher premiums.
PRIORITY 4
ABCF urges removal of verbiage in the Texas State published “Women’s Right to Know Brochure” stating a link between abortion and breast cancer as this is not an evidence-based statement.
PRIORITY 5
Insurance coverage for fertility preservation procedures for cancer patients about to receive chemotherapy and radiation,
both of which can cause infertility including coverage after the patient is free of cancer. SB 959 (HB 2682)

 

  • The language to write the Medically Necessary Fertility Preservation Act is in Ledge Council at the Texas Capital so a bill
    number should be coming possibly this week. Then ABCF Advocates will be working along with Alliance for Fertility
    Protection, Live Strong and MD Anderson to get the bill passed.Summary.
    This Act shall provide coverage for medically necessary expenses for standard fertility preservation services when a medically necessary treatment may directly or indirectly cause iatrogenic infertility.
    Definitions.
    (a) “Iatrogenic Infertility” means an impairment of fertility caused directly or indirectly by surgery, chemotherapy, radiation, or other medical treatment affecting the reproductive organs or processes.
    (b) “Standard Fertility Preservation Services” means procedures to preserve fertility that are consistent with established medical practices and professional guidelines published by the American Society of Clinical Oncology or the American Society for Reproductive Medicine.
    (c) “Medical Treatment That May Directly or Indirectly Cause Iatrogenic Infertility” means medical treatment with a likely side effect of infertility as established by the American Society of Clinical Oncology or the American Society of Reproductive Medicine.
     Plans Covered.
    (a) Every health care service plan sold in the State that provides hospital, medical, or surgical coverage shall include coverage for medically necessary expenses for standard fertility preservation services when a necessary medical treatment may directly or indirectly cause iatrogenic fertility to a covered person.
    (b) This Act shall apply to all policies, contracts, and health benefit plans issued, delivered, amended, or renewed in the State on or after January 1, 2020.

 

Legislation passed with the support of ABCF

  • House Bill (HB) 39 passed in the 1997 Legislature, providing protection from discrimination in employment or health insurance due to genetic information derived from genetic testing. ABCF spearheaded and worked on this legislation until it passed.
  • Senate Bill (SB) 217 passed in the 1997 Legislature, requiring insurance coverage of breast reconstruction after mastectomy, including surgery on the non-affected breast to promote symmetry.
  • HB 349 passed in the 1997 Legislature, requiring insurance companies that cover breast cancer treatment to provide inpatient care for a minimum of 48 hours following mastectomy and 24 hours following lymph node dissection.
  • SB 532 – the Texas version of the federal Breast and Cervical Cancer Treatment Act (establishing the Breast and Cervical Cancer Treatment Program run by Medicaid) – passed in the 2001 Legislature and was signed into law by Governor Perry, becoming effective September 1, 2001.
  • SB 39 passed in the 2009 Legislature, requiring all Texas health insurers to cover routine care costs associated with participation in federally approved clinical trials. This legislation was also spearheaded by ABCF.
  • HB 438 passed in the 2011 Legislature, providing coverage for orally administered cancer treatment no less favorably than intravenously administered or injected chemotherapy treatments.