COL LEG Breast Cancer Screenings

Updated on: Jun 3, 2025

Latest Event


  • May 2025 COL LEG Governor Approval
  • On May 29, 2025, COL LEG governor signed bill SB 25-296 into law, eff. Aug. 6, 2025.

On May 8, COL LEG passed bill on breast cancer screening coverage.

  • COL LEG passed SB 25-296 re insurance coverage for breast cancer examinations.
  • Amends COL INS 10-16-104 by adding language around preventative screens.
  • Bill Provisions
  • Requires coverage for annual screenings for individuals with at least one risk factor.
  • Mandates coverage for diagnostic and supplemental breast imaging, including MRI, ultrasound, and contrast enhanced mammography when deemed medically necessary.
  • Prohibits cost-sharing for preventive, diagnostic, and supplemental breast imaging.
  • Clarifies that coverage must include diagnostic exams following abnormal findings and supplemental exams based on personal and family history, dense breast tissue findings
  • Broadens definition of imaging, includes any noninvasive imaging modality by provider.
  • Legislative History
  • On Apr. 15, 2025, bill introduced into Senate; on Feb. 28, 2025, bill passed Senate.
  • On Feb. 28, 2025, bill introduced into House; on May 2, 2025, bill passed House.
  • On May 8, 2025, Senate concurred amendments; on May 8, 2025, sent to governor.
  • Effectiveness
  • If enacted, takes effect at 12:01 a.m. on the day after expiration of the 90-day period after final adjournment on May 7, with effectiveness beginning on Aug. 6, 2025.
  • May 2025 COL LEG Governor Approval
  • On May 29, 2025, COL LEG governor signed bill SB 25-296 into law, eff. Aug. 6, 2025.
Regulators
COL LEG
Entity Types
Ins
Reference
Act, 5/29/2025; Bill SB25-296, 5/8/2025; Citation: COL INS 10-16-104;
Functions
Claims/Accelerated Benefits; Compliance; Legal; Product Administration; Risk
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
May 8, 2025
Effective Date
Aug 6, 2025
Rule ID
254090
Linked to
N/A
Reg. Last Update
May 29, 2025
Report Section
US Consumer