Coverage for Mammograms and Supplemental Breast Cancer Screenings
The passage of H0187 is expected to improve access to mammography services for women, particularly those at increased risk of breast cancer. By mandating insurance coverage for a wider range of screenings, including supplementary tests like MRIs and ultrasounds for higher-risk patients, the bill aims to align Florida’s health insurance policies with emerging practices in breast cancer early detection. This change could significantly benefit women with a family history of breast cancer or other identifiable risk factors, thus contributing to early diagnosis and better health outcomes.
House Bill H0187 aims to expand coverage for mammograms and supplemental breast cancer screenings for women in Florida. Specifically, the bill mandates that insurance policies provide coverage for baseline mammograms and supplementary screenings for women aged 25 to 40, with increased frequency based on risk factors. The bill also outlines the requirements that insurers must adhere to, including defining what constitutes a supplemental breast cancer screening and the conditions under which these screenings are necessary. Coverage is applicable to multiple types of health insurance contracts and is to take effect from July 1, 2025.
While H0187 has received support from various health advocacy groups, concerns have been raised regarding the potential increased costs to insurers and, consequently, to policyholders. Some critics argue that mandatory coverage could lead to higher premiums or limited coverage options for other medical services. Others express concerns over the capacity of healthcare facilities to manage increased demand for screenings as a result of these requirements, highlighting a need for resources and funding to facilitate these mandated services effectively.