The bill amends the Michigan Insurance Code of 1956 to enhance coverage for breast cancer-related services under health insurance policies. It mandates that insurers provide coverage for breast cancer diagnostic services, outpatient treatment services, diagnostic breast examinations, and supplemental breast examinations. The bill specifies that coverage for breast cancer screening mammography must be offered to individuals aged 35 and older, with one screening allowed every five years for those aged 35 to 39, and one screening per calendar year for those aged 40 and older. Notably, coverage under this section is exempt from dollar limits, deductibles, or copayments.

Additionally, the bill updates definitions related to breast cancer services, including the definitions of breast cancer outpatient treatment services, diagnostic breast examinations, and supplemental breast examinations. These definitions clarify the types of procedures and examinations that fall under the coverage requirements, ensuring that individuals receive necessary screenings and treatments based on their medical history and risk factors. Overall, the bill aims to improve access to essential breast cancer care for individuals in Michigan.

Statutes affected:
Senate Introduced Bill: 500.3406