Bill > HB0314

This bill introduces new regulations for health insurance coverage of breast examinations in Utah, aimed at reducing financial barriers to breast cancer screening. The bill defines several key terms, including "cost-sharing requirement" (any out-of-pocket expenses like copayments or deductibles), "breast examination" (which encompasses various diagnostic imaging techniques such as mammography, MRI, and ultrasound), "diagnostic breast examination" (used to evaluate an existing abnormality), and "supplemental breast examination" (used for screening when no prior indication of a breast health issue exists). The primary provision mandates that health benefit plans cannot require enrollees to pay any cost-sharing fees for diagnostic or supplemental breast examinations. Furthermore, the bill stipulates that these examinations are considered medically necessary if they align with the National Comprehensive Cancer Network Guidelines. The legislation is set to take effect on May 7, 2025, and represents a significant step towards making breast cancer screening more accessible by removing potential financial obstacles that might deter individuals from obtaining important preventive healthcare.

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https://le.utah.gov/~2025/bills/static/HB0314.html