The Breast Examination and Screening Transformation Act (BEST Act) seeks to improve insurance and Medicaid coverage for breast cancer screenings and examinations by amending several sections of the Revised Code. Key changes include a revised definition of "screening mammography" to align with American College of Radiology guidelines, the introduction of terms like "diagnostic breast examination" and "supplemental breast cancer screening," and a mandate for health insurance policies to cover these services without cost-sharing for individuals. The bill ensures that all adult individuals have access to necessary breast cancer detection services, requiring annual coverage for screening mammography and supplemental screenings under specific conditions, such as dense breast tissue or increased risk factors.

Additionally, the bill clarifies that diagnostic breast examinations must be covered for individuals with abnormalities detected in prior screenings and specifies that these services must be performed in accredited facilities. It prohibits any additional costs beyond approved deductibles and copayments for these essential services. The legislation also amends Medicaid coverage for cytologic screenings, ensuring they are processed in certified laboratories or hospitals, and repeals several existing sections of the Revised Code. The Director of Health and the Superintendent of Insurance are tasked with notifying relevant parties about the act's provisions within three months of its enactment. Overall, the BEST Act aims to enhance the availability and affordability of critical breast cancer detection and diagnostic services in the state.

Statutes affected:
As Introduced: 1751.62, 3923.52, 3923.53, 5162.20, 5164.08