summary
Introduced
01/08/2026
01/08/2026
In Committee
01/16/2026
01/16/2026
Crossed Over
Passed
Dead
Introduced Session
2026 Regular Session
Bill Summary
An act relating to insurance coverage for breast cancer screening; amending s. 627.6418, F.S.; defining terms; requiring that certain health insurance policies issued, amended, delivered, or renewed on or after a specified date provide specified minimum coverage for breast cancer screening and diagnosis; specifying that specified health insurance policies are subject to certain provisions; revising applicability; amending s. 627.6613, F.S.; defining terms; requiring that certain health insurance policies issued, amended, delivered, or renewed on or after a specified date provide specified minimum coverage for breast cancer screening and diagnosis; specifying that specified health insurance policies are subject to certain provisions; amending s. 627.6699, F.S.; defining terms; requiring that certain health benefit plans issued on or after a specified date provide specified minimum coverage for breast cancer screening and diagnosis; specifying that specified health insurance policies are subject to certain provisions; providing applicability; providing construction; requiring insurers to make certain coverage available to the policyholder or contract holder without being subject to certain deductible or coinsurance provisions; amending s. 641.31095, F.S.; defining terms; requiring that certain health maintenance contracts issued or renewed on or after a specified date provide specified minimum coverage for breast cancer screening and diagnosis; specifying that specified health insurance policies are subject to certain provisions; providing an effective date.
AI Summary
This bill, effective July 1, 2026, mandates that certain health insurance policies, health benefit plans, and health maintenance contracts issued, amended, delivered, or renewed on or after January 1, 2027, must provide specific minimum coverage for breast cancer screening and diagnosis, aligning with the National Comprehensive Cancer Network's guidelines. This includes annual screening mammograms for women aged 40 and older, as well as medically necessary screening mammograms and supplemental breast cancer screenings (such as MRIs or ultrasounds) for women identified as being at increased risk, as defined by specific criteria including genetic predisposition, family history, prior thoracic radiation, or dense breast tissue. The bill also clarifies that these coverage requirements apply even after breast cancer treatment is completed, during remission and surveillance periods, as long as the examination is not considered a diagnostic breast examination. Importantly, insurers must offer this coverage without deductibles or coinsurance if an appropriate additional premium is paid, and the coverage is generally available with or without a physician's prescription for screening mammograms performed at registered facilities. The bill defines terms like "BI-RADS" (Breast Imaging Reporting and Data System), "diagnostic breast examination," "increased risk," "screening mammogram," and "supplemental breast cancer screening" to ensure clarity in the scope of coverage.
Committee Categories
Budget and Finance
Sponsors (1)
Last Action
Now in Appropriations Committee on Agriculture, Environment, and General Government (on 02/04/2026)
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/2026/1494 |
| Analysis - Banking and Insurance (Post-Meeting) | https://www.flsenate.gov/Session/Bill/2026/1494/Analyses/2026s01494.bi.PDF |
| Analysis - Banking and Insurance (Pre-Meeting) | https://www.flsenate.gov/Session/Bill/2026/1494/Analyses/2026s01494.pre.bi.PDF |
| BillText | https://www.flsenate.gov/Session/Bill/2026/1494/BillText/Filed/HTML |
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