Session of 2025
SENATE BILL No. 219
By Senator Sykes
2-5
AN ACT concerning insurance; relating to accident and health insurance;
imposing coverage requirements for coverage of diagnostic and
supplemental breast examinations; amending K.S.A. 40-2,103 and 40-
19c09 and repealing the existing sections.
Be it enacted by the Legislature of the State of Kansas:
New Section 1. (a) Every individual or group health insurance policy,
medical service plan, contract, hospital service corporation contract,
hospital and medical service corporation contract, fraternal benefit society
or health maintenance organization that provides coverage for accident and
health services, is delivered, issued for delivery, amended or renewed on
or after January 1, 2026, and provides benefits with respect to diagnostic
breast examinations and supplemental breast examinations shall impose no
cost-sharing requirements for such diagnostic or supplemental breast
examinations when furnished to an individual enrolled in such plan or
coverage.
(b) The provisions of K.S.A. 40-2248 and 40-2249a, and amendments
thereto, shall not apply to this section.
(c) As used in this section:
(1) "Breast magnetic resonance imaging" means a diagnostic tool that
uses a powerful magnetic field, radio waves and a computer to produce
detailed pictures of the structures in the breast.
(2) "Breast ultrasound" means a noninvasive tool that uses high-
frequency sound.
(3) "Cost-sharing requirements" means a deductible, coinsurance,
copayment and any maximum limitation on the application of such a
deductible, coinsurance, copayment or similar out-of-pocket expense.
(4) "Diagnostic breast examination" means a medically necessary and
appropriate examination of the breast, including an examination using
diagnostic mammography, breast magnetic resonance imaging or breast
ultrasound that is used to evaluate an abnormality:
(A) Seen or suspected from a screening examination for breast
cancer; or
(B) detected by another means of examination.
(5) "Diagnostic mammography" means a diagnostic tool that uses x-
ray and is designed to evaluate an abnormality in the breast.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36 SB 219 2
(6) "Supplemental breast examination" means a medically necessary
and appropriate examination of the breast using breast magnetic resonance
imaging or breast ultrasound that is:
(A) Used to screen for breast cancer when there is no abnormality
seen or suspected; or
(B) based on personal or family medical history or additional factors
that may increase the individual's risk of breast cancer.
Sec. 2. K.S.A. 40-2,103 is hereby amended to read as follows: 40-
2,103. The requirements of K.S.A. 40-2,100, 40-2,101, 40-2,102, 40-
2,104, 40-2,105, 40-2,105a, 40-2,105b, 40-2,114, 40-2,160, 40-2,165
through 40-2,170, 40-2250, K.S.A. 40-2,105a, 40-2,105b, 40-2,184, 40-
2,190, 40-2,194 and, 40-2,210 through 40-2,216 and 40-2250, and
amendments thereto, and section 1, and amendments thereto, shall apply
to all insurance policies, subscriber contracts or certificates of insurance
delivered, renewed or issued for delivery within or outside of this state or
used within this state by or for an individual who resides or is employed in
this state.
Sec. 3. K.S.A. 40-19c09 is hereby amended to read as follows: 40-
19c09. (a) Corporations organized under the nonprofit medical and
hospital service corporation act shall be subject to the provisions of the
Kansas general corporation code, articles 60 through 74 of chapter 17 of
the Kansas Statutes Annotated, and amendments thereto, applicable to
nonprofit corporations, to the provisions of K.S.A. 40-214, 40-215, 40-
216, 40-218, 40-219, 40-222, 40-223, 40-224, 40-225, 40-229, 40-230, 40-
231, 40-235, 40-236, 40-237, 40-247, 40-248, 40-249, 40-250, 40-251, 40-
252, 40-2,100, 40-2,101, 40-2,102, 40-2,103, 40-2,104, 40-2,105, 40-
2,105a, 40-2,105b, 40-2,116, 40-2,117, 40-2,125, 40-2,153, 40-2,154, 40-
2,160, 40-2,161, 40-2,163 through 40-2,170, 40-2,184, 40-2,190, 40-
2,194, 40-2,210 through 40-2,216, 40-2a01 et seq., 40-2111 through 40-
2116, 40-2215 through 40-2220, 40-2221a, 40-2221b, 40-2229, 40-2230,
40-2250, 40-2251, 40-2253, 40-2254, 40-2401 through 40-2421, and 40-
3301 through 40-3313 and K.S.A. 40-2,105a, 40-2,105b, 40-2,184, 40-
2,190, 40-2,194 and 40-2,210 through 40-2,216, and amendments thereto,
and section 1, and amendments thereto, except as the context otherwise
requires, and shall not be subject to any other provisions of the insurance
code except as expressly provided in this act.
(b) No policy, agreement, contract or certificate issued by a
corporation to which this section applies shall contain a provision which
that excludes, limits or otherwise restricts coverage because medicaid
benefits as permitted by title XIX of the social security act of 1965 are or
may be available for the same accident or illness.
(c) Violation of subsection (b) shall be subject to the penalties
prescribed by K.S.A. 40-2407 and 40-2411, and amendments thereto.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43 SB 219 3
Sec. 4. K.S.A. 40-2,103 and 40-19c09 are hereby repealed.
Sec. 5. This act shall take effect and be in force from and after its
publication in the statute book.
1
2
3