The bill H. 3202 aims to amend the South Carolina Code of Laws by adding Section 38-71-148, which mandates that all health insurance policies in the state provide coverage for diagnostic and supplemental breast examinations without any cost-sharing requirements. The bill defines key terms such as "cost-sharing requirements," "diagnostic breast examinations," "health insurance policy," and "supplemental breast examination," ensuring clarity in the types of examinations covered. It specifies that these examinations must adhere to the National Comprehensive Cancer Network Guidelines and outlines the conditions under which they are deemed medically necessary.
Additionally, the bill includes provisions that address potential conflicts with federal law, particularly concerning Health Savings Accounts (HSAs). It states that if the application of the no-cost-sharing requirement would make an individual ineligible for an HSA under federal law, the requirement will only apply to high deductible health plans after the enrollee has met the minimum deductible. The bill emphasizes that these new provisions are supplementary to existing laws regarding health insurance coverage for mammograms. The act will take effect upon approval by the Governor.
Statutes affected: 12/05/2024: 38-71-148
Latest Version: 38-71-148
12/06/2024: 38-71-148