Bill > HB1061

This bill requires state employee health plans, accident and sickness insurance policies, and health maintenance organization (HMO) contracts to provide comprehensive breast cancer screening and diagnostic coverage without any cost sharing requirements. Specifically, the bill mandates coverage for breast cancer screening mammography, diagnostic breast examinations, and supplemental breast examinations for women, with different screening frequencies based on age and risk factors. For women aged 35-40, the bill ensures at least one baseline mammogram, and for women under 40 who are considered "at risk" (such as those with a family history of breast cancer), annual mammograms are covered. Women 40 and older are entitled to annual mammograms. The bill also includes coverage for additional mammography views, ultrasound services when medically necessary, and defines key terms like "supplemental breast examination" as a medically necessary screening based on personal or family medical history that aims to detect potential breast cancer risks. Importantly, these services must be provided without deductibles, copayments, coinsurance, or other out-of-pocket expenses, making breast cancer screening more accessible and affordable for women in Indiana, effective July 1, 2025.

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https://iga.in.gov/legislative/2025/bills/house/1061/details