Senate Bill 264 mandates that health insurance policies and self-insured health plans provide coverage for diagnostic breast examinations and supplemental breast screening examinations for individuals at increased risk of breast cancer or those with dense breast tissue, as defined by established medical guidelines. The bill specifies that these screenings must be covered by the Medical Assistance program, which serves individuals with limited financial resources. Additionally, the bill prohibits health insurance policies from imposing cost-sharing amounts for these examinations, ensuring that individuals do not face out-of-pocket expenses for necessary screenings.

The bill also updates existing statutes to include new definitions and requirements related to breast cancer screenings, such as breast magnetic resonance imaging, breast tomosynthesis, and diagnostic mammography. It renumbers and amends certain sections of the law to incorporate these changes, while maintaining current coverage requirements for mammograms. The legislation aims to enhance access to critical breast cancer screenings and ensure that financial barriers do not prevent individuals from receiving necessary medical care.

Statutes affected:
Bill Text: 40.51(8m), 40.51, 66.0137(4), 66.0137, 120.13(2)(g), 120.13, 609.80