SB 519
Establishing insurance provisions requiring coverage for annual breast cancer screenings
Take action
Record your position on this measure.
Sign in to record your position, submit testimony, or contact your legislator.
Sign in to take action- Introduced
- Passed Senate
- Passed House of Delegates
- To Governor
- Became Law
Bill overview
This bill requires West Virginia health insurance plans to cover annual mammogram screenings for women aged 40 and over, and for women under 40 with a family history of breast cancer or other risk factors. It also mandates coverage for comprehensive ultrasounds when mammograms show concerning tissue or when a woman is at increased risk based on genetic testing or personal history. The bill applies to all insurance policies issued on or after January 1, 2026.
Key provisions
- Requires annual mammogram coverage for women aged 40 and over without a prior order.
- Requires mammogram coverage for women under 40 with a family history of breast cancer or other risk factors.
- Mandates coverage for comprehensive breast ultrasounds in certain circumstances.
- Applies to all insurance policies issued on or after January 1, 2026.
- Covers mammograms, pap smears, and HPV tests according to current guidelines.
- Allows for deductibles, coinsurance, and limitations similar to other covered services.
- Specifies that reimbursement for cancer screening services should not be denied when performed by a licensed physician.
- Requires coverage for mammograms when medically appropriate and consistent with US Preventive Services Task Force guidelines.
Who is affected
- Women in West Virginia
- Health insurance companies operating in West Virginia
- Healthcare providers in West Virginia
- Individuals with health insurance coverage in West Virginia
Arguments in favor
Reasons to support this legislation.
No arguments in favor have been submitted.
Submit yoursArguments opposed
Reasons to oppose this legislation.
No arguments opposed have been submitted.
Submit yours