California’s legislature recently passed Assembly Bill (AB) 1795. To comply with AB 1975, effective January 1, 2017, Every Woman Counts program will provide diagnostic services to symptomatic women under age 40.
Insurance and government programs usually cover breast services for individuals who are 40 years old and older. However, people younger than 40 are rarely covered by insurance and this is where Komen steps in. For those whose breast screening tests reveals something abnormal, a follow-up test, known as a “diagnostic service,” is needed. Through Komen funding, Health Quality Partners (HQP) covers the cost of diagnostic mammograms, surgical consultations, breast biopsies, ultrasounds and ancillary services for San Diegans under the age of 40 and for those who previously didn’t qualify for the state program, Every Woman Counts.
Thanks to efforts including Komen’s advocacy work AB1795 was passed this year, and is now in effect expanding eligibility for EWC to symptomatic women under 40. While this new government program is developed, Komen San Diego will continue to fund this program through HQP. In order to access funds for diagnostic services, individuals are referred to HQP by their physician with an authorization request.
This program has been in higher demand this year than last year. Komen has allocated additional funding to support women in need. However, there is once again a waiting list for women needing free diagnostic services. If you would like to support these women.