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Bill > SF2048

IA SF2048

IA SF2048
A bill for an act relating to insurance coverage and Medicaid coverage for annual lung cancer screenings for at-risk individuals.

summary

Introduced
01/14/2026
In Committee
01/14/2026
Crossed Over
Passed
Dead

Introduced Session

91st General Assembly

Bill Summary

This bill relates to insurance coverage and medical assistance program (Medicaid) coverage for annual lung cancer screenings for at-risk individuals. The bill defines “at-risk individual” as a recipient or covered person 40 years of age or older that either has smoked cigarettes regularly or experienced secondhand smoke regularly, has an immediate family member diagnosed with lung cancer, or has been regularly exposed to asbestos, radon, arsenic, nickel, chromium, tar, or soot in the individual’s home or workplace. The bill defines “lung cancer screening” as a scan of the lungs using low-dose computed tomography. Under the bill, the department of health and human services shall seek any federal waiver necessary for Medicaid to provide coverage for an annual lung cancer screening for at-risk individuals. Contingent on receiving approval of, and effective immediately upon receiving approval of, a federal waiver, Medicaid shall provide coverage for annual lung cancer screenings for at-risk individuals. The bill requires a policy, contract, or plan providing for third-party payment or prepayment of health or medical expenses to provide coverage for an annual lung cancer screening for an at-risk individual. Cost-sharing shall not be imposed by a health carrier for coverage required under the bill. Coverage required under the bill shall not be less favorable than coverage a health carrier offers for screening mammograms. The bill applies to third-party payment providers enumerated in the bill, and the commissioner of insurance may adopt rules to administer the requirements of the bill applying to such third-party payment providers. The bill specifies the types of specialized health-related insurance which are not subject to the coverage requirements of the bill.

AI Summary

This bill mandates that both private insurance plans and the state's Medicaid program (medical assistance program) provide coverage for annual lung cancer screenings for individuals deemed "at-risk." An "at-risk individual" is defined as someone 40 years or older who has a history of smoking or significant exposure to secondhand smoke, has a close family member with lung cancer, or has been regularly exposed to certain harmful substances like asbestos or radon in their home or workplace. A "lung cancer screening" is specifically defined as a low-dose computed tomography (CT) scan of the lungs. For Medicaid, the Department of Health and Human Services will seek federal approval (a waiver) to cover these screenings, and coverage will begin immediately upon receiving that approval. For private insurance, any policy or plan that covers health expenses must include coverage for these annual screenings for at-risk individuals, and insurers cannot charge any out-of-pocket costs like copayments or deductibles for this coverage, ensuring it's at least as good as the coverage provided for mammograms. The bill also lists specific types of insurance, such as accident-only or dental coverage, that are exempt from these new screening requirements.

Committee Categories

Health and Social Services

Sponsors (16)

Last Action

Subcommittee: Sweeney, Donahue, and Webster. S.J. 123. (on 01/21/2026)

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