ORE LEG Breast Examination Coverage


On Jun. 23, ORE LEG passed bill on breast examination coverage.


  • ORE LEG passed bill SB 1041 to stipulate a prohibition on cost-sharing on certain health insurance coverage of supplemental and diagnostic breast examinations.
  • Bill Provisions
  • Amend ORE INS 743B.005, health benefit plans, add new provisions to Insurance Code
  • Prohibits health benefit plans, except for certain HSAs, from imposing a deductible, coinsurance, copayment for necessary diagnostic or supplemental breast examination.
  • Legislative History
  • On Feb. 22, 2023, bill introduced in Senate; on Jun. 20, 2023, bill passed in Senate.
  • On Jun. 21, 2023, bill introduced in House; on Jun. 23, 2023, bill passed in House.
  • Effectiveness
  • Upon passage, bill to take effect 91 days after adjournment of session.
  • Jul. 27, 2023 ORE LEG Governor Approval
  • On Jul. 27, 2023, ORE LEG reported that the governor signed bill SB 1041 into law.
  • Effective 91st day after date on which the 2023 regular session of the 82nd legislative Assembly adjourns sine die (scheduled to adjourn Jun. 25), so on Sep. 24, 2024.

Regulators ORE LEG
Entity Types CNSM; Ins
Reference Bill, 7/27, 2023; Bill, SB 1041, 6/23/2023; Citation: ORE INS 743B.005;
Functions Claims/Accelerated Benefits; Compliance; HR; Legal; Product Administration
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 6/23/2023
Effective Date 9/24/2024
Rule Id 177178
Linked to N/A
Reg. Last Update 7/27/2023
Report Section US Insurance

Last substantive update on 07/31/2023