IOW LEG Ins Coverage Breast Exams


On Apr. 1, IOW LEG passed bill relating to coverage for breast exams.


  • IOW LEG passed HF 2489 relating to providing insurance coverage for supplemental and diagnostic breast examinations in new section IOW LEG 514C.4A.
  • Overview
  • Provides relevant definitions, including breast MRI, Breast ultrasound, covered person, diagnostic breast examination, diagnostic mammogram, health care professional.
  • Requires that policy, contract, or plan providing for third-party payment of medical expenses must provide coverage for supplemental and diagnostic breast examinations.
  • Coverage for these may not be less favorable than that for screening mammograms.
  • Legislative History
  • On Feb. 13, 2024, bill introduced in House; on Feb. 21, 2024, bill passed House.
  • On Feb. 22, 2024, bill introduced in Senate; on Apr. 1, 2024, bill passed Senate.
  • Effectiveness
  • Applies to third-party payment plans, contracts, policies, including group plans, delivered, issued for delivery, continued or renewed on or after Jan. 1, 2025.
  • May 2024 IOW LEG Governor Approval
  • On May 1, 2024, IOW LEG Governor signed bill into law, applies from Jan. 1, 2025.

Regulators IOW LEG
Entity Types CNSM; Ins
Reference Bill, 5/1/2024; Bill, HF2489, 4/1/2024; Citation: IOW LEG 514C;
Functions Claims/Accelerated Benefits; Compliance; Financial; Legal; Product Administration
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 4/1/2024
Effective Date 1/1/2025
Rule Id 206990
Linked to N/A
Reg. Last Update 5/1/2024
Report Section US Insurance

Last substantive update on 05/07/2024