summary
Introduced
02/27/2025
02/27/2025
In Committee
03/06/2025
03/06/2025
Crossed Over
Passed
Dead
06/16/2025
06/16/2025
Introduced Session
2025 Regular Session
Bill Summary
An act relating to coverage for colorectal cancer screening and diagnosis; amending s. 408.9091, F.S.; revising the colorectal screening requirements for specified plans under the Cover Florida Health Care Access Program; creating s. 627.64192, F.S.; defining the term “cost sharing”; requiring specified individual health insurance policies to provide coverage for specified colorectal cancer screening tests, procedures, and examinations under certain circumstances; prohibiting individual health insurers from imposing any cost sharing for such coverage; providing applicability; creating s. 627.6614, F.S.; defining the term “cost sharing”; requiring specified group, blanket, and franchise health insurance policies to provide coverage for specified colorectal cancer screening tests, procedures, and examinations under certain circumstances; prohibiting group, blanket, and franchise health insurers from imposing any cost sharing for such coverage; creating s. 641.31093, F.S.; defining the term “cost sharing”; requiring specified health maintenance contracts to provide coverage for specified colorectal cancer screening tests, procedures, and examinations under certain circumstances; prohibiting health maintenance organizations from imposing any cost sharing for such coverage; providing applicability; providing an effective date.
AI Summary
This bill mandates comprehensive coverage for colorectal cancer screening and diagnosis across various types of health insurance plans in Florida, effective January 1, 2026. The legislation requires individual, group, and health maintenance contracts to provide coverage for colorectal cancer screening tests that are either approved by the FDA and meet Medicare's National Coverage Determination or align with the American Cancer Society's most recent guidelines. These screenings must be deemed appropriate by the attending physician after consulting with the patient. Importantly, the bill prohibits insurers from imposing any cost sharing (such as copayments, coinsurance, deductibles, or dollar limits) on patients for these screenings, regardless of whether the healthcare provider is in-network or out-of-network. The bill also updates the Cover Florida Health Care Access Program to explicitly include colorectal cancer screenings among its preventive health services. The legislation applies to most health insurance policies but excludes short-term, nonrenewable contracts written for less than six months. By removing financial barriers to screening, the bill aims to improve early detection and potentially reduce colorectal cancer mortality rates in Florida.
Sponsors (1)
Last Action
Died in Banking and Insurance, companion bill(s) passed, see SB 2514 (Ch. 2025-204) (on 06/16/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.flsenate.gov/Session/Bill/2025/1542 |
| BillText | https://www.flsenate.gov/Session/Bill/2025/1542/BillText/Filed/HTML |
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