This bill aims to enhance coverage for colorectal cancer screening and diagnosis by amending existing laws and creating new provisions within Florida Statutes. It revises the colorectal screening requirements for specific plans under the Cover Florida Health Care Access Program and introduces new sections (627.64192, 627.6614, and 641.31093) that mandate individual health insurance policies, group health insurance policies, and health maintenance contracts to provide coverage for colorectal cancer screening tests, procedures, and examinations. The bill specifies that these screenings must be conducted under certain circumstances, including adherence to guidelines from the U.S. Food and Drug Administration and the American Cancer Society.

Importantly, the bill prohibits health insurers from imposing any cost-sharing requirements, such as copayments or deductibles, for these colorectal cancer screenings, regardless of whether the provider is in-network or out-of-network. The effective date for these provisions is set for July 1, 2025. Additionally, the bill clarifies that the term "cost sharing" includes copayments, coinsurance, dollar limits, and deductibles, but excludes premiums. Overall, this legislation seeks to improve access to essential cancer screenings and reduce financial barriers for individuals seeking preventive care.

Statutes affected:
S 1542 Filed: 408.9091