West Virginia 2024 Regular Session

West Virginia Senate Bill SB486

Introduced
1/18/24  

Caption

Establishing insurance provisions requiring coverage for annual breast cancer screenings

Impact

The introduction of SB486 is set to impact the health insurance landscape in West Virginia significantly. By ensuring that annual mammograms are covered without prior restrictions, the bill seeks to encourage more women to undergo regular screenings, potentially leading to earlier detection of breast cancer and ultimately saving lives. The provisions outlined will apply to all insurance policies in the state starting from January 2024, aiming to standardize coverage and remove barriers to care for women of screening age.

Summary

Senate Bill 486 aims to amend the Code of West Virginia to establish insurance provisions requiring coverage for annual breast cancer screenings. The bill mandates that insurance policies cover one mammogram examination each year for women aged 40 and over without requiring a prior order. Additionally, for women under the age of 40 who have a family history of breast cancer or other risk factors, the bill allows for mammograms to be conducted as deemed medically necessary. This legislation intends to improve access to preventive health services related to breast cancer screening.

Sentiment

The sentiment surrounding SB486 appears to be largely positive, particularly among women's health advocates and medical professionals who support enhanced access to preventive screenings. The bill is viewed as a critical step toward improving women's health outcomes by ensuring financial barriers do not prevent necessary diagnostic tests. However, there may be concerns about the financial impacts on insurance providers as mandates for coverage become more stringent, which could lead to discussions about premiums and overall healthcare costs in the state.

Contention

While SB486 seems to align with public health initiatives, there may be some contention regarding the funding mechanisms that will sustain such mandated coverage, especially from insurance companies who could face increased costs. Questions about how the legislation will be implemented, including the specifics of coverage limitations and the implications for insurance premiums, are expected to arise during discussions. Additionally, there will be ongoing debates on whether such mandates are beneficial or pose undue burdens on insurance markets and employers.

Companion Bills

No companion bills found.

Similar Bills

NJ A1697

Requires health care professionals to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.

NJ A2448

Requires health care professionals to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.

NJ S1521

Requires health care professionals to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bilateral ultrasounds.

NJ S2666

Requires health care professional to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.

WV HB4485

Relating to insurance coverage for breast cancer screening

NJ A4093

Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.

NJ A1679

Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.

NJ A1572

Lowers age at which certain insurers are required to provide coverage for mammograms.