The proposed bill aims to amend the Code of West Virginia by introducing a new article focused on cost-sharing requirements for diagnostic and supplemental breast examinations. It defines key terms such as "cost-sharing requirement," "diagnostic breast examinations," "health benefit policy," "insurer," and "supplemental breast examinations." The bill stipulates that if a health benefit policy covers screening, diagnostic, and supplemental breast examinations, it cannot impose any cost-sharing requirements on these services. Additionally, it allows the Commissioner of Insurance to propose legislative rules to implement these provisions.

Furthermore, the bill includes a provision that addresses potential conflicts with federal law regarding Health Savings Accounts (HSAs). If applying the no-cost-sharing requirement would make individuals ineligible for HSAs under the Internal Revenue Code, the cost-sharing requirement would only apply to high-deductible health plans after the minimum deductible is met. However, preventive care items or services would still be exempt from cost-sharing regardless of the deductible status. Overall, the bill seeks to enhance access to essential breast health services by eliminating financial barriers for patients.

Statutes affected:
Introduced Version: 33-64-1