Bill > AB1570

This bill requires health care service plans and health insurance policies, including self-insured employee welfare benefit plans, to cover screening mammography and medically necessary diagnostic breast imaging without cost sharing for individuals starting January 1, 2028, except for high-deductible health plans where it applies after the deductible is met for non-preventative services. This expanded coverage includes diagnostic imaging following an abnormal mammogram or for individuals with risk factors for breast cancer, such as family history or genetic mutations, and defines various terms related to breast imaging and cost sharing. The bill also clarifies that plans must arrange for out-of-network services if they are unavailable within the network to ensure timely access and specifies that this requirement does not apply to certain specialized insurance plans.

Health and Social Services

https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202520260AB1570