MD LEG Cancer Screening Coverage


On Apr. 4, MD LEG passed bill on cancer screening insurance coverage


  • MD LEG passed bill HB 1259 relating to breast cancer screening and lung cancer screening health insurance coverage, amends MD INS 15-814.1 and MD INS 15-860.
  • Bill Provisions
  • Coverage for cancer screening may not be subject to prior authorization requirement.
  • Insurer may not impose copayment, coinsurance, deductible on coverage for lung cancer screening or follow-up diagnostic imaging greater than copay, coinsurance.
  • Legislative History
  • On Feb. 8, 2024, bill introduced in House; on Mar. 18, 2024, bill passed House.
  • On Mar. 18, 2024, bill introduced in Senate; on Apr. 4, 2024, bill passed Senate.
  • Effectiveness
  • Bill provisions take effect on Jan. 1, 2025 and apply to policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or after Jan. 1, 2025.
  • May 2024 MD LEG Bill Approval
  • On May 16, 2024, MD LEG reported governor approved the bill, assigned Ch. 868.

Regulators MD LEG
Entity Types Ins
Reference Ch. 868, 5/16/2024; Bill, HB1259, 4/4/2024; Citation: *MD INS* 15-814.1, 15-860;
Functions Compliance; Financial; Legal
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 4/4/2024
Effective Date 1/1/2025
Rule Id 207453
Linked to N/A
Reg. Last Update 5/16/2024
Report Section US Insurance

Last substantive update on 05/22/2024