Breast Cancer Patient Protection Act Provision Implemented – June 2010
Beginning July 1, 2010, Empire BlueCross BlueShield will implement a key provision of the Breast Cancer Patient Protection Act introduced by U.S. Representative Rosa DeLauro. This new provision standardizes minimum recovery times in the hospital for women recovering from mastectomy, and offers a voluntary 48-hour in-hospital stay. We continue to recommend that women recovering from mastectomy, together with their physicians, decide whether hospitalization for 48 hours is required. Empire believes that applying this universal minimum standard will benefit our members, as well as encourage others in the industry to follow and adopt this standard.
Your current precertification or preauthorization process will not change at this time, and physicians will not need to submit a special request for patients to utilize the 48 hour in-hospital stay. The voluntary 48 hour minimum in-hospital stay will apply to all fully insured Empire policies. Self insured policies, where Empire provides administration