Florida HB 137: Fire Sprinklers

Bill Text

HB 137 2026

CODING: Words stricken are deletions; words underlined are additions.
hb137-00
Page 1 of 10
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S

A bill to be entitled 1
An act relating to coverage for mammograms and 2
supplemental breast cancer screenings; creating s. 3
409.9064, F.S.; providing definitions; requiring the 4
Agency for Health Care Administration to provide 5
coverage for yearly mammograms and yearly supplemental 6
breast cancer screenings for certain women under the 7
Medicaid program under certain circumstances; 8
requiring the agency to seek federal approval under a 9
specified circumstance; amending ss. 627.6418, 10
627.6613, and 641.31095, F.S.; defining the term 11
"supplemental breast cancer screening"; revising 12
coverages for mammograms under certain individual 13
accident and health insurance policies, group, 14
blanket, and franchise accident and health insurance 15
policies, and health maintenance contracts, 16
respectively; requiring coverages for supplemental 17
breast cancer screenings under such policies and 18
contracts under certain circumstances; providing 19
applicability; providing an effective date. 20
21
Be It Enacted by the Legislature of the State of Florida: 22
23
Section 1. Section 409.9064, Florida Statutes, is created 24
to read: 25

HB 137 2026

CODING: Words stricken are deletions; words underlined are additions.
hb137-00
Page 2 of 10
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S

409.9064 Coverage for mammograms and supplemental breast 26
cancer screenings.— 27
(1) As used in this section, the term: 28
(a) "Mammogram" means an image of a radiologic examination 29
used to detect unsuspected breast cancer at an early stage in an 30
asymptomatic woman and includes the X-ray picture of the breast 31
using equipment that is dedicated specifically for mammography, 32
including, but not limited to, the X-ray tube, filter, 33
compression device, screens, film, and cassettes. The radiologic 34
examination must include two views of each breast. The term also 35
includes images from digital breast tomosynthesis and the 36
professional interpretation of images from any mammography 37
equipment, but does not include any diagnostic mammography 38
image. 39
(b) "Supplemental breast cancer screening" means a 40
clinically appropriate examination, in addition to a mammogram, 41
deemed medically necessary by a treating health care provider 42
for breast cancer screening in accordance with applicable 43
American College of Radiology guidelines, including, but not 44
limited to, magnetic resonance imaging, ultrasound, and 45
molecular breast imaging. 46
(2) Subject to the availability of funds and subject to 47
any limitations or directions provided in the General 48
Appropriations Act, the agency must provide the following 49
coverage each year for a Medicaid recipient who is a woman 50

HB 137 2026

CODING: Words stricken are deletions; words underlined are additions.
hb137-00
Page 3 of 10
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S

between 25 and 40 years of age, inclusive: 51
(a) One mammogram to detect the presence of breast cancer. 52
(b) One supplemental breast cancer screening to detect the 53
presence of breast cancer if: 54
1. The woman's mammogram demonstrates, based on the breast 55
imaging reporting and data system established by the American 56
College of Radiology, that the woman has dense breast tissue; or 57
2. The woman is at an increased risk of breast cancer due 58
to: 59
a. A personal or family history of breast cancer; 60
b. A personal history of biopsy-proven benign breast 61
disease; 62
c. Ancestry; 63
d. Genetic predisposition; 64
e. Not having given birth before the age of 30; or 65
f. Other reasons as determined by the woman's physician. 66
(3) The agency shall seek federal approval, if needed, for 67
the implementation of this section. 68
Section 2. Section 627.6418, Florida Statutes, is amended, 69
to read: 70
627.6418 Coverage for mammograms and supplemental breast 71
cancer screenings.— 72
(1) As used in this section, the term "supplemental breast 73
cancer screening" means a clinically appropriate examination, in 74
addition to a mammogram, deemed medically necessary by a 75

HB 137 2026

CODING: Words stricken are deletions; words underlined are additions.
hb137-00
Page 4 of 10
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S

treating physician for breast cancer screening in accordance 76
with applicable American College of Radiology guidelines, 77
including, but not limited to, magnetic resonance imaging, 78
ultrasound, and molecular breast imaging. 79
(2)(1) An accident or health insurance policy issued, 80
amended, delivered, or renewed in this state on or after July 1, 81
2026, must provide coverage for at least the following for any 82
woman between 25 and 40 years of age, inclusive: 83
(a) One A baseline mammogram each year, including a 84
digital breast tomosynthesis for any woman who