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Bill > H0141


FL H0141

FL H0141
State Group Insurance Program Coverage for Diagnostic and Supplemental Breast Examinations


summary

Introduced
01/13/2025
In Committee
01/22/2025
Crossed Over
Passed
Dead
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)

Last Action

Laid on Table, companion bill(s) passed, see SB 158 (Ch. 2025-44) (on 04/29/2025)

bill text


bill summary

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bill summary

Document Type Source Location
State Bill Page https://www.flsenate.gov/Session/Bill/2025/141
Analysis - Health Care Facilities & Systems Subcommittee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/141/Analyses/h0141z.HFS.PDF
Analysis - Health & Human Services Committee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/141/Analyses/h0141e.HHS.PDF
Analysis - Health & Human Services Committee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/141/Analyses/h0141d.HHS.PDF
Analysis - Budget Committee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/141/Analyses/h0141c.BUC.PDF
Analysis - Budget Committee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/141/Analyses/h0141b.BUC.PDF
Analysis - Health Care Facilities & Systems Subcommittee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/141/Analyses/h0141a.HFS.PDF
Analysis - Health Care Facilities & Systems Subcommittee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/141/Analyses/h0141.HFS.PDF
BillText https://www.flsenate.gov/Session/Bill/2025/141/BillText/Filed/PDF
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