Bill > S0158

This bill modifies Florida's state group insurance program to provide comprehensive coverage for diagnostic and supplemental breast examinations without imposing any cost-sharing requirements on enrollees. The bill introduces new definitions for key terms, including "diagnostic breast examination" and "supplemental breast examination," which are based on guidelines from the National Comprehensive Cancer Network. A diagnostic breast examination refers to medically necessary imaging used to evaluate an abnormality detected during a breast cancer screening, which can include mammography, MRI, or ultrasound. A supplemental breast examination is an additional screening method used when no abnormality is initially detected, based on personal or family medical history or other risk factors. The legislation specifically prohibits the state group insurance program from charging enrollees any out-of-pocket expenses like deductibles, copayments, or coinsurance for these types of breast examinations. The bill includes a nuanced provision related to health savings accounts to ensure compliance with federal tax laws, and it is set to take effect on January 1, 2026, providing health insurers and state agencies time to implement the new requirements.

Budget and Finance

https://www.flsenate.gov/Session/Bill/2025/158