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 coverage for yearly mammograms and supplemental screenings for women aged 25 to 40 who meet certain 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, it amends existing statutes (ss. 627.6418, 627.6613, and 641.31095) to include definitions and coverage requirements for supplemental breast cancer screenings, ensuring that these screenings are provided under specific circumstances.

Key amendments include the definition of "supplemental breast cancer screening" and the requirement for insurance policies to cover at least one mammogram and one supplemental screening each year for eligible women. The bill specifies that coverage must be provided for women between the ages of 25 and 40, and it updates the language regarding the frequency and conditions under which these screenings are covered. The effective date for these changes is set for July 1, 2026.

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