Amendment Updates Cost-Sharing Requirements for Diagnostic Breast Cancer Screenings

Recently, Gov. Kemp signed House Bill 315, which amends the insurance regulations to require that a health benefit policy that provides coverage for diagnostic examinations for breast cancer shall ensure that the cost-sharing requirements applicable to diagnostic and supplemental breast screening examinations are no less favorable than the cost-sharing requirements applicable to screening mammography for breast cancer.

However, if this cost-sharing requirement would result in HSA ineligibility, the cost-sharing shall only apply after the HDHP minimum deductible is met (unless the items or services are excepted preventive care).

Employers that sponsor insured plans should be aware of the new coverage requirements, which will apply to all insurance policies issued, delivered, issued for delivery, or renewed on or after January 1, 2024.

HB 315 »