Title: Insurance Coverage for Breast Cancer Tests and Procedures

Summary: Prohibits cost-sharing requirements for specified breast cancer tests & procedures under individual health insurance policies; group, blanket, & franchise health insurance policies; & health maintenance contracts.

Full Text:
An act relating to insurance coverage for breast cancer tests and procedures; creating ss. 627.42394 and 641.3133, F.S.; providing definitions; prohibiting cost-sharing requirements for specified breast cancer tests and procedures under individual health insurance policies, group, blanket, and franchise health insurance policies, and health maintenance contracts; providing rulemaking authority; providing an effective date. Be It Enacted by the Legislature of the State of Florida: Section 1. Section 627.42394, Florida Statutes, is created to read: 627.42394 Coverage for diagnostic mammograms, breast magnetic resonance imaging scans, and breast ultra sounds.-(1) As used in this section, the term: (a) "Cost sharing" has the same meaning as provided in s. 627.42391. (b) "Health care provider" means a physician licensed under chapter or chapter 459, a physician assistant licensed under chapter or chapter 459, and an advanced practice registered nurse licensed under chapter 464. (2) An individual or group, blanket, or franchise health HB 2020 insurance policy delivered, issued for delivery, renewed, amended, or continued in this state that provides coverage for diagnostic mammograms, breast magnetic resonance imaging scans, or breast ultrasounds may not apply cost-sharing requirements for a diagnostic mammogram, breast magnetic resonance imaging scan, or breast ultrasound, respectively, that is orde red by a health care provider. (3) The commission may adopt rules to administer this section. Section 2. Section 641.3133, Florida Statutes, is created to read: 641.3133 Coverage for diagnostic mammograms, breast magnetic resonance imaging scans, a nd breast ultrasounds.-(1) As used in this section, the term: (a) "Cost sharing" has the same meaning as provided in s. 641.313. (b) "Health care provider" means a physician licensed under chapter or chapter 459, a physician assistant licensed under chapter or chapter 459, and an advanced practice registered nurse licensed under chapter 464. (2) A health maintenance contract delivered, issued for delivery, renewed, amended, or continued in this state that provides coverage for diagnostic mammograms, breast magnetic resonance imaging scans, or breast ultrasounds may not apply cost-sharing requirements for a diagnostic mammogram, breast HB 2020 magnetic resonance imaging scan, or breast ultrasound, respectively, that is ordered by a health care provider. Section 3. This act shall take effect January 1, 2021.