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 also defines "mammogram" and "supplemental breast cancer screening," outlining the conditions under which supplemental screenings are necessary, such as dense breast tissue or increased risk factors for breast cancer.

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, effective July 1, 2025. The amendments specify that these policies must cover at least one mammogram and one supplemental breast cancer screening annually for eligible women. The language also clarifies the definitions of the screenings and the circumstances under which they are required, ensuring comprehensive coverage for women at risk of breast cancer.

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