HB 141 2025
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hb141-00
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
A bill to be entitled 1
An act relating to state group insurance program 2
coverage for diagnostic and supplemental breast 3
examinations; amending s. 110.123, F.S.; defining 4
terms; amending s. 110.12303, F.S.; prohibiting the 5
state group insurance program from imposing any 6
enrollee cost-sharing liability upon an enrollee with 7
respect to coverage for diagnostic breast examinations 8
or supplemental breast examinations; providing 9
applicability; providing an effective date. 10
11
Be It Enacted by the Legislature of the State of Florida: 12
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Section 1. Present paragraphs (b) through (p), (q), and 14
(r) of subsection (2) of section 110.123, Florida Statutes, are 15
redesignated as paragrap hs (c) through (q), (s), and (t), 16
respectively, new paragraphs (b) and (r) are added to that 17
subsection, and paragraphs (c) and (d) of subsection (14) of 18
that section are amended, to read: 19
110.123 State group insurance program. — 20
(2) DEFINITIONS.—As used in ss. 110.123-110.1239, the 21
term: 22
(b) "Diagnostic breast examination" means a medically 23
necessary and appropriate imaging examination of the breast, as 24
determined in accordance with the most recent applicable 25
HB 141 2025
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
guidelines of the National Comprehensive C ancer Network, 26
including, but not limited to, an examination using diagnostic 27
mammography, breast magnetic resonance imaging, or breast 28
ultrasound, which is used to evaluate an abnormality that is 29
seen or suspected during a screening examination for breast 30
cancer. 31
(r) "Supplemental breast examination" means a medically 32
necessary and appropriate imaging examination of the breast, 33
conducted in accordance with the most recent applicable 34
guidelines of the National Comprehensive Cancer Network, 35
including, but not limited to, an examination using breast 36
magnetic resonance imaging or breast ultrasound, which is: 37
1. Used to screen for breast cancer when there is no 38
abnormality seen or suspected; and 39
2. Based on personal or family medical history or 40
additional factors that may increase the person's risk of breast 41
cancer. 42
(14) OTHER-PERSONAL-SERVICES (OPS) EMPLOYEES (OPS).— 43
(c) The initial measurement period used to determine 44
whether an employee hired before April 1, 2013, and paid from 45
OPS funds is a full-time state employee described in 46
subparagraph (2)(f)1. (2)(e)1. is the 6-month period from April 47
1, 2013, through September 30, 2013. 48
(d) All other measurement periods used to determine 49
whether an employee paid from OPS funds is a full -time state 50
HB 141 2025
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
employee described in paragraph (2)(f) (2)(e) must be for 12 51
consecutive months. 52
Section 2. Present subsections (5) and (6) of section 53
110.12303, Florida Statutes, are redesignated as subsections (6) 54
and (7), respectively, and a new subsection (5) is added to t hat 55
section, to read:: 56
110.12303 State group insurance program; additional 57
benefits; price transparency program; reporting. — 58
(5) In any contract or plan for state employee health 59
benefits which provides coverages for diagnostic breast 60
examinations or supplemental breast examinations, the state 61
group insurance program may not impose any enrollee cost -sharing 62
liability upon an enrollee. If, under federal law, the 63
application of this subsection would result in health savings 64
account ineligibility under s. 223 of the Internal Revenue Code, 65
the prohibition under this subsection applies only to health 66
savings account qualified high -deductible health plans with 67
respect to the deductible of such a plan after the person has 68
satisfied the minimum deductible under s. 223 of the Internal 69
Revenue Code, except with respect to items or services that are 70
preventive care pursuant to s. 223(c)(2)(C) of the Internal 71
Revenue Code, in which case the requirements of s. 223(c)(2)(A) 72
of the Internal Revenue Code apply regardless of whether the 73
minimum deductible under s. 223 of the Internal Revenue Code has 74
been satisfied. 75
HB 141 2025
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
Section 3. This act shall take effect January 1, 2026. 76