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Bill > H0187


FL H0187

FL H0187
Coverage for Mammograms and Supplemental Breast Cancer Screenings


summary

Introduced
01/15/2025
In Committee
01/22/2025
Crossed Over
Passed
Dead
06/16/2025

Introduced Session

2025 Regular Session

Bill Summary

An act relating to coverage for mammograms and supplemental breast cancer screenings; creating s. 409.9064, F.S.; providing definitions; requiring the Agency for Health Care Administration to provide coverage for yearly mammograms and yearly supplemental breast cancer screenings for certain women under the Medicaid program under certain circumstances; requiring the agency to seek federal approval under a specified circumstance; amending ss. 627.6418, 627.6613, and 641.31095, F.S.; defining the term "supplemental breast cancer screening"; revising coverages for mammograms under certain individual accident and health insurance policies, group, blanket, and franchise accident and health insurance policies, and health maintenance contracts, respectively; requiring coverages for supplemental breast cancer screenings under such policies and contracts under certain circumstances; providing applicability; providing an effective date.

AI Summary

This bill expands breast cancer screening coverage for women aged 25-40 in Florida by requiring Medicaid, individual health insurance policies, group health insurance policies, and health maintenance contracts to provide yearly mammograms and supplemental breast cancer screenings under specific circumstances. The bill defines a mammogram as a radiological examination to detect breast cancer, including digital breast tomosynthesis, and defines supplemental breast cancer screening as additional clinically appropriate examinations like MRI, ultrasound, or molecular breast imaging. These supplemental screenings would be covered if a woman has dense breast tissue (as determined by the American College of Radiology's imaging reporting system) or is at increased risk due to factors such as personal or family history of breast cancer, biopsy-proven benign breast disease, ancestry, genetic predisposition, not having given birth before age 30, or other reasons determined by a healthcare provider. The coverage will take effect on July 1, 2025, and the Agency for Health Care Administration is required to seek federal approval if needed for implementation. This legislation aims to improve early detection of breast cancer for women in the 25-40 age range by expanding access to comprehensive breast cancer screenings.

Committee Categories

Health and Social Services

Sponsors (4)

Last Action

Died in Health Care Facilities & Systems Subcommittee (on 06/16/2025)

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