This bill mandates that health insurers, including those under the State Health Benefits Program (SHBP) and the School Employees Health Benefits Program (SEHBP), provide coverage for the diagnosis, evaluation, and treatment of lymphedema, as determined to be medically necessary by the patient's physician. The coverage must be offered under the same terms, including deductibles, coinsurance, and other cost-sharing arrangements, as similar medical services provided under the respective insurance contracts. This requirement applies to various types of health insurance contracts, including hospital service corporation contracts, medical service corporation contracts, health service corporation contracts, individual and group health insurance policies, health benefits plans, and health maintenance organization contracts.

Lymphedema is a condition characterized by the abnormal accumulation of lymphatic fluid in body tissues, which can lead to serious complications if left untreated. The bill emphasizes the importance of early diagnosis and treatment, as lymphedema can progress and cause chronic inflammation, infection, and further damage to the lymphatic system. By ensuring coverage for necessary medical interventions, the bill aims to improve patient outcomes and access to effective management of this condition. The act is set to take effect on the first day of the seventh month following its enactment.