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Bill > H0141
FL H0141
FL H0141State Group Insurance Program Coverage for Diagnostic and Supplemental Breast Examinations
summary
Introduced
01/13/2025
01/13/2025
In Committee
01/22/2025
01/22/2025
Crossed Over
Passed
Dead
06/16/2025
06/16/2025
Introduced Session
2025 Regular Session
Bill Summary
An act relating to state group insurance program coverage for diagnostic and supplemental breast examinations; amending s. 110.123, F.S.; defining terms; amending s. 110.12303, F.S.; prohibiting the state group insurance program from imposing any enrollee cost-sharing liability upon an enrollee with respect to coverage for diagnostic breast examinations or supplemental breast examinations; providing applicability; providing an effective date.
AI Summary
This bill modifies Florida's state group insurance program to enhance coverage for breast examinations by defining two key types of medical imaging: diagnostic breast examinations and supplemental breast examinations, both of which are to be determined according to the National Comprehensive Cancer Network's guidelines. Specifically, a diagnostic breast examination is a medically necessary imaging test used to evaluate an abnormality detected during a screening, which can include mammography, MRI, or ultrasound. A supplemental breast examination is an additional imaging test used to screen for breast cancer when no abnormality is initially detected, and which is based on personal or family medical history or other risk factors. The bill mandates that the state group insurance program cannot impose any out-of-pocket costs (cost-sharing) on employees for these types of breast examinations, with a nuanced provision related to health savings accounts to ensure compliance with federal tax law. The provisions will take effect on January 1, 2026, and are designed to improve access to comprehensive breast cancer screening and diagnostic services for state employees by removing financial barriers to these important medical tests.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (10)
Marie Woodson (D)*,
Robin Bartleman (D),
Mike Caruso (R),
Joe Casello (D),
Anna Eskamani (D),
Gallop Franklin (D),
Mike Gottlieb (D),
Christine Hunschofsky (D),
Johanna López (D),
Michelle Salzman (R),
Last Action
Laid on Table, companion bill(s) passed, see SB 158 (Ch. 2025-44) (on 04/29/2025)
Official Document
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