This bill proposes significant updates to current statutes regarding health insurance coverage for breast cancer screening. Under the new provisions, health insurers—including hospital service corporations, medical service corporations, health care services organizations, and disability insurers—will be prohibited from imposing cost-sharing requirements for preventative screening services for breast cancer and additional screening services required to complete the screening continuum, effective January 1, 2027. This includes diagnostic breast examinations and supplemental breast examinations. The bill also clarifies that if a policy includes a high deductible health plan (HDHP), the prohibition on cost-sharing applies after the deductible is met, but for preventive services, it applies regardless of whether the minimum deductible has been met.

Additionally, the bill introduces definitions for key terms such as "cost sharing," "diagnostic breast examination," "preventative screening services for breast cancer," and "supplemental breast examination." These definitions ensure clarity in the types of services covered and the conditions under which they are provided. The amendments aim to enhance access to necessary breast cancer screenings without financial barriers, thereby promoting early detection and treatment.

Statutes affected:
Introduced Version: 20-841.14, 20-1057.21, 20-1376.11, 20-1406.11
Senate Engrossed Version: 20-841.14, 20-1057.21, 20-1376.11, 20-1406.11, 30-651
Chaptered Version: 20-841.14, 20-1057.21, 20-1376.11, 20-1406.11, 30-651