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NC H297
Bill
Status
5/7/2025
Primary Sponsor
Mary Belk
Click for details
AI Summary
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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
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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
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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
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Updates cervical cancer screening coverage guidelines from American Cancer Society to American College of Obstetricians and Gynecologists standards
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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