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CO SB296

Bill

Status

Passed

5/29/2025

Primary Sponsor

Dafna Michaelson Jenet

Click for details

Origin

Senate

2025 Regular Session

AI Summary

  • Requires insurance policies to cover annual breast cancer screenings for individuals with at least one risk factor, including family history of breast cancer, being 40 years of age or older, or increased lifetime risk determined by models such as Tyrer-Cuzick, BRCAPRO, or GAIL

  • Eliminates cost-sharing requirements (deductibles, coinsurance, copayments) for breast cancer screening studies, diagnostic examinations, and supplemental examinations of the breast

  • Mandates coverage for medically necessary diagnostic and supplemental breast examinations using various imaging modalities including contrast-enhanced mammography, breast MRI, breast ultrasound, and molecular breast imaging, in accordance with National Comprehensive Cancer Network guidelines

  • Includes provisions for Health Savings Account (HSA) holders, allowing the requirements to apply after the minimum deductible under federal tax code Section 223 is satisfied, except for services classified as preventive care

  • Takes effect 90 days after the legislative session ends, unless a referendum petition is filed, in which case it would require voter approval at the November 2026 general election

Legislative Description

Insurance Coverage for Breast Cancer Examinations

Health Care & Health Insurance

Last Action

Governor Signed

5/29/2025

Committee Referrals

Health and Human Services4/28/2025
Health and Human Services4/15/2025

Full Bill Text

No bill text available