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FL S0158
Bill
AI Summary
- Prohibits the Florida state group insurance program from imposing any cost-sharing requirements (deductibles, coinsurance, copayments, or similar out-of-pocket expenses) on enrollees for diagnostic or supplemental breast examinations
- Defines "diagnostic breast examination" as a medically necessary imaging exam (including diagnostic mammography, breast MRI, or ultrasound) used to evaluate an abnormality seen or suspected during a breast cancer screening
- Defines "supplemental breast examination" as a medically necessary imaging exam (including breast MRI or ultrasound) used to screen for breast cancer when no abnormality is suspected, based on personal or family medical history or other risk factors
- Includes a carve-out for health savings account (HSA) qualified high-deductible health plans, allowing cost-sharing requirements to apply until the enrollee meets the minimum deductible under IRC § 223, to preserve HSA eligibility under federal law
- Takes effect January 1, 2026
Legislative Description
Coverage for Diagnostic and Supplemental Breast Examinations
Last Action
Chapter No. 2025-44
5/21/2025
Committee Referrals
Appropriations3/6/2025
Full Bill Text
No bill text available