Loading chat...

NC H297

Bill

Status

Engrossed

5/7/2025

Primary Sponsor

Mary Belk

Click for details

Origin

House of Representatives

2025-2026 Session

AI Summary

  • Requires health insurers in North Carolina to apply the same cost-sharing (deductibles, copays, coinsurance) for diagnostic and supplemental breast imaging (MRI, ultrasound, diagnostic mammography) as they do for routine screening mammograms

  • Covers supplemental breast cancer screening for patients at increased risk due to personal or family medical history, or those who qualify based on US Preventive Services Task Force recommendations

  • Prohibits out-of-network healthcare providers from billing patients or insurers above in-network reimbursement rates for breast cancer prevention services including mammograms, ultrasounds, and MRIs

  • Updates cervical cancer screening coverage guidelines from American Cancer Society to American College of Obstetricians and Gynecologists standards

  • Effective October 1, 2025, applying to insurance contracts issued, renewed, or amended on or after that date, and to services provided on or after that date

Legislative Description

Breast Cancer Prevention Imaging Parity

Health Services

Last Action

Ref To Com On Rules and Operations of the Senate

5/7/2025

Committee Referrals

Rules and Operations of the Senate5/7/2025
Rules, Calendar, and Operations of the House4/3/2025
Insurance3/18/2025
Health3/6/2025

Full Bill Text

No bill text available