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<section article="ghg" article_name="Health - General" number="20-116" title_number="20" title_name="Miscellaneous Health Provisions" subtitle_number="1" subtitle_name="Consent Provisions">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <text>“Biennial” means once every other year.</text>
    </level>
    <level label="3">
      <text>“Clinical breast examination” means a breast examination performed by a health care professional for the purpose of detecting breast cancer.</text>
    </level>
    <level label="4">
      <text>“Eligible individual” means an individual who is eligible to receive benefits under the Program in accordance with subsection (e) of this section.</text>
    </level>
    <level label="5">
      <text>“Mammogram” means an X-ray examination of the breast using dedicated equipment, including X-ray tube, filter, compression device, screens, films, and cassettes, specifically for mammography that delivers an average radiation exposure of less than one rad mid-breast with two views for each breast.</text>
    </level>
    <level label="6">
      <text>“Mastectomy” means the surgical removal of all or part of a breast as a result of breast cancer.</text>
    </level>
    <level label="7">
      <text>“Program” means the Breast Cancer Program.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>The Department shall establish a Breast Cancer Program.</text>
    </level>
    <level label="2">
      <text>The purpose of the Program is to:</text>
      <level label="i">
        <text>Provide at least biennial screening mammograms and clinical breast examinations to low-income, underinsured and low-income, uninsured women aged 40 years to 49 years;</text>
      </level>
      <level label="ii">
        <text>Provide annual screening mammograms and clinical breast examinations to low-income, underinsured and low-income, uninsured women aged 50 years and older; and</text>
      </level>
      <level label="iii">
        <text>Provide diagnosis and treatment for individuals who are identified by this Program as being in need.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <text>Treatment provided to a Program participant who has undergone a mastectomy shall include:</text>
    <level label="1">
      <text>Reconstruction of the breast on which the mastectomy has been performed;</text>
    </level>
    <level label="2">
      <text>Surgery and reconstruction of the other breast to produce a symmetrical appearance;</text>
    </level>
    <level label="3">
      <text>Prostheses; and</text>
    </level>
    <level label="4">
      <text>Any physical complications related to the mastectomy.</text>
    </level>
  </level>
  <level label="d">
    <text>The Department shall administer the Program through the local health departments using a grant program under which a local health department makes arrangements with health care facilities to provide screening mammograms and clinical breast examinations to eligible individuals.</text>
  </level>
  <level label="e">
    <text>An individual is eligible for the Program if the individual:</text>
    <level label="1">
      <text>Has a family income that does not exceed 250% of the federal poverty level; and</text>
    </level>
    <level label="2">
      <text>Does not have access to health insurance coverage that covers screening mammograms and clinical breast examinations for women aged 40 years and older.</text>
    </level>
  </level>
  <level label="f">
    <text>For each fiscal year, the Governor shall include an appropriation of general funds to the Program in an amount not less than the amount appropriated for breast cancer screening, diagnosis, and treatment in the State budget for fiscal year 1999, subject to the availability of State funds.</text>
  </level>
  <level label="g">
    <text>The Department shall:</text>
    <level label="1">
      <text>Adopt regulations necessary to implement the Program; and</text>
    </level>
    <level label="2">
      <text>Work with all interested parties to assure that breast cancer screening services are available to women at least 40 years old.</text>
    </level>
  </level>
</section>
