This bill establishes new provisions for coverage of mammograms and supplemental breast cancer screenings in Florida. It creates a new section, 409.9064, in the Florida Statutes, which mandates that the Agency for Health Care Administration provide Medicaid coverage for annual mammograms and supplemental screenings for women aged 25 and older who meet specific criteria, contingent on available funding and legislative directives. The bill defines "mammogram" and "supplemental breast cancer screening," the latter being an additional examination deemed necessary by a healthcare provider, which may include methods such as MRI and ultrasound.

Additionally, the bill amends existing statutes (sections 627.6418, 627.6613, and 641.31095) to include similar coverage requirements for individual and group health insurance policies and health maintenance contracts. It specifies that these policies must cover at least one mammogram and one supplemental breast cancer screening annually for eligible women, with the coverage subject to standard deductible and coinsurance provisions. The effective date for these changes is set for July 1, 2025.

Statutes affected:
S 1578 Filed: 627.6418, 627.6613, 641.31095