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WV SB430
Bill
Status
2/13/2025
Primary Sponsor
Laura Wakim Chapman
Click for details
AI Summary
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Prohibits health insurance plans from imposing deductibles, copayments, coinsurance, or other out-of-pocket costs for diagnostic and supplemental breast examinations including breast MRIs, ultrasounds, and mammograms
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Covers diagnostic examinations used to evaluate abnormalities detected through screening or other means, as well as supplemental screenings for individuals with elevated breast cancer risk based on personal or family medical history
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Applies to all major insurance types in West Virginia: public employee insurance, individual and group accident/sickness insurance, hospital/medical service corporations, health care corporations, and health maintenance organizations
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Includes an exception for Health Savings Account-qualified High Deductible Health Plans, allowing cost-sharing to apply after the enrollee meets the minimum IRS deductible under Section 223, unless the service qualifies as preventive care
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Takes effect January 1, 2026 for private insurers and July 1, 2026 for public employee insurance, applying to new and renewed policies
Legislative Description
Relating to cost-sharing requirements for breast examinations
Insurance
Last Action
To Finance
2/21/2025