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FL S1578
Bill
Status
Introduced
2/27/2025
Primary Sponsor
Tracie Davis
Click for details
AI Summary
- Requires annual mammogram coverage, including digital breast tomosynthesis, for women aged 25 and older under individual health insurance policies, group/blanket/franchise health insurance policies, and health maintenance contracts issued or renewed on or after July 1, 2025
- Mandates coverage for one supplemental breast cancer screening per year (e.g., MRI, ultrasound, molecular breast imaging) for women with dense breast tissue, personal or family history of breast cancer, genetic predisposition, ancestry-related risk, biopsy-proven benign breast disease, or nulliparity before age 30
- Lowers the age threshold for mammogram coverage from 35 to 25 and replaces the previous tiered frequency schedule (baseline at 35, every 2 years at 40, annually at 50) with annual coverage for all eligible women
- Creates Section 409.9064, Florida Statutes, requiring the Agency for Health Care Administration to provide Medicaid coverage for annual mammograms and supplemental breast cancer screenings for women 25 and older, subject to fund availability and legislative direction in the General Appropriations Act
- Supplemental screenings must be deemed medically necessary by a treating health care provider and follow American College of Radiology guidelines, with the agency directed to seek federal approval if needed for Medicaid implementation
Legislative Description
Coverage for Mammograms and Supplemental Breast Cancer Screenings
Last Action
Died on Calendar
6/16/2025
Committee Referrals
Fiscal Policy4/15/2025
Appropriations Subcommittee on Health and Human Services3/25/2025
Full Bill Text
No bill text available