The bill establishes new provisions for coverage of mammograms and supplemental breast cancer screenings under the Medicaid program and various health insurance policies in Florida. It creates a new section, 409.9064, which mandates that the Agency for Health Care Administration provide annual coverage for mammograms and supplemental screenings for women aged 25 to 40 who meet specific criteria, such as having dense breast tissue or a family history of breast cancer. The bill also requires the agency to seek federal approval if necessary for implementation.

Additionally, the bill amends existing statutes (sections 627.6418, 627.6613, and 641.31095) to include definitions and coverage requirements for supplemental breast cancer screenings, which are deemed medically necessary by a healthcare provider. It specifies that insurance policies issued or renewed on or after July 1, 2026, must cover at least one mammogram and one supplemental screening each year for eligible women. The language also clarifies that coverage is subject to the same deductible and coinsurance provisions as other outpatient services. The bill is set to take effect on July 1, 2026.

Statutes affected:
H 137 Filed: 627.6418, 627.6613, 641.31095