Florida SB 1494: Insurance Coverage for Condominium Unit Owners

Bill Text

1494 
Insurance Coverage for Breast Cancer Screening 
2026-01-08T10:12:19Z 
Requiring that certain health insurance policies issued, amended, delivered, or renewed on or after a specified date provide specified minimum coverage for breast cancer screening and diagnosis; requiring that certain health insurance policies issued, amended, delivered, or renewed on or after a specified date provide specified minimum coverage for breast cancer screening and diagnosis; requiring that certain health benefit plans issued on or after a specified date provide specified minimum coverage for breast cancer screening and diagnosis; requiring that certain health maintenance contracts issued or renewed on or after a specified date provide specified minimum coverage for breast cancer screening and diagnosis, etc. 
Original Filed Version 
2026 
S 
2026-07-01T00:00:00Z 
GB 
General Bill 
__ 

 Florida Senate - 2026 SB 1494 

 By Senator Davis 

 5-01179C-26 20261494__ 
 1 A bill to be entitled 
 2 An act relating to insurance coverage for breast 
 3 cancer screening; amending s. 627.6418, F.S.; defining 
 4 terms; requiring that certain health insurance 
 5 policies issued, amended, delivered, or renewed on or 
 6 after a specified date provide specified minimum 
 7 coverage for breast cancer screening and diagnosis; 
 8 specifying that specified health insurance policies 
 9 are subject to certain provisions; revising 
 10 applicability; amending s. 627.6613, F.S.; defining 
 11 terms; requiring that certain health insurance 
 12 policies issued, amended, delivered, or renewed on or 
 13 after a specified date provide specified minimum 
 14 coverage for breast cancer screening and diagnosis; 
 15 specifying that specified health insurance policies 
 16 are subject to certain provisions; amending s. 
 17 627.6699, F.S.; defining terms; requiring that certain 
 18 health benefit plans issued on or after a specified 
 19 date provide specified minimum coverage for breast 
 20 cancer screening and diagnosis; specifying that 
 21 specified health insurance policies are subject to 
 22 certain provisions; providing applicability; providing 
 23 construction; requiring insurers to make certain 
 24 coverage available to the policyholder or contract 
 25 holder without being subject to certain deductible or 
 26 coinsurance provisions; amending s. 641.31095, F.S.; 
 27 defining terms; requiring that certain health 
 28 maintenance contracts issued or renewed on or after a 
 29 specified date provide specified minimum coverage for 
 30 breast cancer screening and diagnosis; specifying that 
 31 specified health insurance policies are subject to 
 32 certain provisions; providing an effective date. 
 33 
 34 Be It Enacted by the Legislature of the State of Florida: 
 35 
 36 Section 1. Section 627.6418, Florida Statutes, is amended 
 37 to read: 
 38 627.6418 Coverage for mammograms.— 
 39 (1) As used in this section, the term: 
 40 (a) “BI-RADS” means the American College of Radiology 
 41 Breast Imaging Reporting and Data System. 
 42 (b) “Diagnostic breast examination” means a medically 
 43 necessary imaging examination of the breast, including, but not 
 44 limited to, an examination using diagnostic mammography, breast 
 45 magnetic resonance imaging, or breast ultrasound, which is used 
 46 to evaluate an abnormality that is seen or reasonably suspected 
 47 during a screening examination for breast cancer. For purposes 
 48 of this paragraph, the term “reasonably suspected” means the 
 49 screening examination evidences at least one observable sign of 
 50 a potential abnormality. 
 51 (c) “Increased risk” means, in accordance with the National 
 52 Comprehensive Cancer Network, any one of the following 
 53 categories which enhances the likelihood that a woman may 
 54 develop breast cancer, including: 
 55 1. Having a known genetic predisposition or a pedigree 
 56 suggestive of a genetic predisposition for breast cancer. 
 57 2. Having a lifetime risk of breast cancer equal to or 
 58 greater than 20 percent as defined by models that include a 
 59 comprehensive family history, including first-, second-, and, 
 60 when relevant to the model, third-degree relatives. 
 61 3. Having previously received thoracic radiation between 10 
 62 and 30 years of age. 
 63 4. Being 35 years of age or older with a 5-year risk of 
 64 invasive breast cancer equal to or greater than 1.7 percent. 
 65 5. Having a lifetime risk equal to or greater than 20 
 66 percent based on a history of atypical ductal hyperplasia, 
 67 lobular carcinoma in situ, or atypical lobular hyperplasia. 
 68 6. Having heterogeneously or extremely dense breast tissue 
 69 as defined under the BI-RADS and based on a woman’s most 
 70 recently completed mammogram results. 
 71 (d) “Screening mammogram” means a radiologic examination 
 72 using equipment dedicated specifically for mammography, 
 73 including digital breast tomosynthesis mammography but not 
 74 includin