Diagnostic and supplemental breast examination insurance
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Overview
This bill aims to require health insurance policies in South Carolina to cover diagnostic and supplemental breast examinations without requiring cost-sharing. It defines key terms related to these examinations and includes exceptions related to federal laws and Health Savings Accounts. The coverage is intended to be in addition to existing provisions regarding mammogram coverage.
Key provisions
- Defines ‘cost-sharing requirements’ as deductibles, coinsurance, copayments, and similar out-of-pocket expenses.
- Defines ‘diagnostic breast examinations’ as medically necessary examinations to evaluate abnormalities detected during screening or other examinations.
- Defines ‘supplemental breast examination’ as medically necessary examinations for screening when no abnormalities are present, but based on risk factors.
- Requires health insurance policies to not impose cost-sharing requirements on diagnostic and supplemental breast examinations.
- Includes exceptions for Health Savings Account eligibility under federal law.
- States that these provisions are in addition to existing provisions regarding mammogram coverage.
- Specifies the types of imaging and examination methods covered under diagnostic breast examinations.
Who is affected
- Health insurance policyholders in South Carolina
- Individuals receiving health insurance coverage
Bill text
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Sponsors
Official sponsors from legislative records.
1 on record
Primary sponsor
Devine
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