HB 5241
Relating to insurance coverage for breast cancer screening
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- Passed House of Delegates
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill aims to ensure that West Virginia insurance policies cover the costs of breast cancer screenings. It mandates that insurance plans provide coverage for baseline mammograms for women aged 30-40, annual mammograms for women aged 40 and older, and additional screenings for women with a family history of breast cancer or other risk factors. The bill also requires insurance companies to include information about breast density in mammography reports and suggests patients discuss their density with their healthcare providers.
Key provisions
- Requires insurance coverage for baseline mammograms for women aged 30-40.
- Requires annual mammograms for women aged 40 and older.
- Mandates additional screenings for women with family history or risk factors.
- Requires insurance companies to include breast density information in mammography reports.
- Requires insurance companies to suggest patients discuss breast density with their healthcare providers.
- Addresses reimbursement for pap smears and HPV testing related to cancer screening.
- Specifies that reimbursement should not be denied for these screenings when medically appropriate.
- Establishes a timeline of January 1, 2026, for the application of these requirements.
Who is affected
- Women in West Virginia
- Insurance companies operating in West Virginia
- Healthcare providers in West Virginia
- Radiology facilities in West Virginia
- Patients with breast cancer risk factors
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