Senate Bill 264 mandates that health insurance policies and self-insured governmental 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, although this limitation does not apply if it would affect eligibility for health savings accounts under federal law.

The bill also updates existing statutes to include new definitions and requirements related to breast cancer screenings, such as breast magnetic resonance imaging, breast ultrasound, and diagnostic mammography. It renumbers and amends certain sections of the law to ensure clarity and compliance with the new coverage mandates. Notably, the bill maintains current coverage requirements for mammograms while explicitly including preferred provider plans in its provisions. The changes are set to take effect for policy years beginning January 1 of the year following the bill's enactment, with specific provisions for collective bargaining agreements.

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