Bill > SB189

This bill expands mandatory health insurance coverage for breast cancer screening by modifying existing Hawaii state law. Specifically, the bill requires health insurance policies to provide coverage for low-dose mammography and supplemental imaging for patients of all ages who are at higher risk of breast cancer. For patients 40 years and older, the bill mandates an annual mammogram, and for patients of any age with an above-average risk of breast cancer (as determined by a risk-factor modeling tool) or with a family history of breast cancer, the bill now requires coverage for any supplemental imaging deemed medically necessary by the patient's primary care provider. Additionally, by January 1, 2026, the bill will expand coverage to include supplemental imaging such as breast magnetic resonance imaging, ultrasound, or digital breast tomosynthesis for patients of any age when recommended by their primary care provider. The bill defines digital breast tomosynthesis as a radiologic procedure that creates cross-sectional, three-dimensional digital images of the breast. The legislature's stated purpose is to reduce breast cancer incidences and related deaths by ensuring early and comprehensive breast cancer screenings are financially accessible. The bill will take effect on December 31, 2050.

Business and Industry, Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=189&year=2025