The bill amends existing laws regarding coverage for breast cancer examinations, specifically addressing the conditions under which mammographies are covered and the associated cost-sharing requirements. It stipulates that healthcare insurers are prohibited from paying for mammographies performed in unaccredited facilities, emphasizing that this applies to credentialed or accredited places of service.

Additionally, the bill clarifies that health benefit plans cannot impose cost-sharing requirements, such as copayments or deductibles, for screening mammograms and breast ultrasounds, regardless of whether services are provided on different dates or multiple services are rendered on the same date. Furthermore, it mandates that the cost-sharing requirements for diagnostic examinations for breast cancer must be at least as favorable as those for screening examinations.

Statutes affected:
HB 1309: 23-79-140(c), 23-79-140(e)
Act 268: 23-79-140(c), 23-79-140(e)