This bill amends the Insurance Company Law of 1921 to enhance coverage for mammographic examinations and breast imaging. It specifies that both group and individual health insurance policies must provide coverage for breast imaging, including diagnostic breast examinations and supplemental screenings for individuals at increased risk of breast cancer. The bill outlines the criteria for determining increased risk, which includes personal and family histories of breast cancer, genetic predispositions, and specific medical conditions. Additionally, it clarifies that while coverage is mandated, insurance providers may still apply deductibles, copayments, or coinsurance for services beyond the minimum required coverage.

Key changes in the bill include the insertion of "Article XXIV" to specify the applicable regulations and the replacement of the term "Health Maintenance Organization Act" with "Health Maintenance Organization Act" for clarity. The definition of "diagnostic breast examination" is also introduced, emphasizing the necessity of these examinations when abnormalities are suspected. The bill aims to ensure comprehensive coverage for breast health, thereby improving access to necessary screenings and examinations for individuals at risk. The act is set to take effect 60 days after its passage.

Statutes/Laws affected:
Printer's No. 1300 (Apr 08, 2025): P.L.682, No.284
Printer's No. 1300: P.L.682, No.284