insurance coverage; autologous breast reconstruction

SB 1604 requires health insurance plans in Arizona to cover autologous breast reconstruction (using the patient's own tissue) following mastectomy, along with related services like revisions and imaging. It mandates that this coverage must be as favorable as other reconstruction options, without additional out-of-pocket costs (like copays or deductibles) beyond what applies to in-network care. The bill also requires insurers to maintain sufficient provider networks for timely access and to reimburse out-of-network providers at rates comparable to in-network rates. This directly affects women undergoing mastectomies who need reconstruction, ensuring their insurance covers this specific procedure under defined standards.