The bill mandates that all individual or group health insurance policies, medical service plans, and similar contracts that provide coverage for breast cancer screening and diagnostic examinations must eliminate any cost-sharing requirements for diagnostic or supplemental breast examinations. This requirement applies to policies delivered, issued, amended, or renewed on or before January 1, 2026. Additionally, if compliance with this mandate would affect health savings account eligibility under federal law, the requirement will only apply to high deductible health plans after the minimum deductible has been met. The bill also clarifies definitions for "cost-sharing requirement," "diagnostic breast examination," "insured," and "supplemental breast examination."
Furthermore, the bill amends existing statutes to ensure that the new provisions apply to all insurance policies used within the state, regardless of where they are issued. It repeals certain sections of the Kansas Statutes Annotated that are no longer applicable due to these changes. The bill also specifies that nonprofit medical and hospital service corporations must adhere to the Kansas general corporation code and outlines penalties for violations related to coverage exclusions based on Medicaid benefits. The act will take effect upon publication in the statute book.
Statutes affected: As introduced: 40-2, 40-19c09, 40-2407, 40-2411