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GA HB928
Bill
Status
4/4/2025
Primary Sponsor
Inga Willis
Click for details
AI Summary
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Prohibits insurers from requiring utilization review or disputing a physician's determination that a breast ultrasound is medically necessary when a supplemental breast screening examination reveals dense breast tissue.
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Adds a statutory definition of "dense breast tissue" as heterogeneously or extremely dense breast tissue based on nationally recognized guidelines, including the American College of Radiology's Breast Imaging Reporting and Data System.
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Amends existing Georgia insurance law (Code Section 33-24-59.32) governing cost-sharing requirements for diagnostic and supplemental breast screening examinations.
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Effective July 1, 2025, applying to all health benefit policies executed, delivered, issued for delivery, or renewed on or after October 1, 2025.
Legislative Description
Insurance; utilization review by an insurer shall not be required in the instance in which a physician has determined the existence of dense breast tissue and the medical necessity of a breast ultrasound; provide
Last Action
House Second Readers
1/12/2026