This bill amends Iowa law regarding cost-sharing requirements for supplemental and diagnostic breast examinations. It introduces a new definition of "cost-sharing," which encompasses any coverage limit, copayment, coinsurance, deductible, or other out-of-pocket costs imposed by health insurance policies. Additionally, the bill stipulates that the cost-sharing requirements for supplemental and diagnostic breast examinations must be at least as favorable as those for screening mammograms, ensuring that patients do not face higher out-of-pocket costs for necessary breast health services.

The provisions of this bill will apply to all third-party payment provider contracts, policies, or plans that are delivered, issued for delivery, continued, or renewed in Iowa starting January 1, 2026. This legislative change aims to enhance access to essential breast health examinations by standardizing cost-sharing practices, thereby promoting equitable treatment for patients requiring these services.

Statutes affected:
Introduced: 514C.4A