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KY HB135
Bill
Status
1/7/2026
Primary Sponsor
Rebecca Raymer
Click for details
AI Summary
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Eliminates all cost-sharing requirements (deductibles, copays, coinsurance) for mammograms, diagnostic breast examinations, and supplemental breast examinations under health insurance policies in Kentucky, effective January 1, 2027
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Expands annual mammogram coverage to begin at age 40 instead of age 50, and removes the previous limitation of mammograms every two years for ages 40-49
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Requires coverage of preventive breast cancer screenings without cost-sharing for individuals at increased risk, those with dense breast tissue, or those whose providers determine screening is needed based on age, race, ethnicity, or medical history
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Applies to all health benefit plans including short-term coverage, student health insurance, state employee plans, and self-insured plans offered by state postsecondary educational institutions
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Screenings must follow American College of Radiology Appropriateness Criteria or National Comprehensive Cancer Network guidelines and may include 2D/3D mammograms, breast ultrasound, and breast MRI
Legislative Description
AN ACT relating to coverage for breast examinations.
Local Mandate
Last Action
to Banking & Insurance (H)
1/14/2026