An act TO AMEND THE LAW CONCERNING COVERAGE OF 10 EXAMINATIONS FOR BREAST CANCER, the official text

Stricken language would be deleted from and underlined language would be added to present law.

1 State of Arkansas                     A Bill
2 95th General Assembly

3 Regular Session, 2025                                           HOUSE BILL 1309

4

5 By: Representatives Rose, L. Johnson

6 By: Senator Irvin

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8                        For An Act To Be Entitled

9   AN ACT TO AMEND THE LAW CONCERNING COVERAGE OF

10  EXAMINATIONS FOR BREAST CANCER; TO CLARIFY THE COST-

11  SHARING REQUIREMENTS FOR EXAMINATIONS FOR BREAST

12  CANCER; AND FOR OTHER PURPOSES.

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15                                      Subtitle

16                       TO AMEND THE LAW CONCERNING COVERAGE OF

17                       EXAMINATIONS FOR BREAST CANCER; AND TO

18                       CLARIFY THE COST-SHARING REQUIREMENTS

19                       FOR EXAMINATIONS FOR BREAST CANCER.

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21 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS:

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23  SECTION 1. Arkansas Code � 23-79-140(c), concerning mammographies

24 performed in an unaccredited facility, is amended to read as follows:

25  (c)(1) A healthcare insurer shall not pay for mammographies performed

26 in an unaccredited facility after January 1, 1990.

27  (2) This section applies to a credentialed or accredited place

28 of service in which the service is provided.

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30  SECTION 2. Arkansas Code � 23-79-140(e), concerning copayments and

31 deductibles under a health benefit plan for examinations for breast cancer,

32 is amended to read as follows:

33  (e)(1) Benefits under this section are subject to any health benefit

34 plan provisions that apply to other services covered by the health benefit

35 plan, except that a health benefit plan shall not impose a copayment or

36 deductible cost-sharing requirement for a screening mammogram, even if:

    *ANS072*                                                    01/29/2025 9:45:56 AM ANS072
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1               (A) A service is provided on different dates of service;

2 or

3               (B) More than one (1) service is provided on the same date

4 of service.

5               (2) A breast ultrasound shall not be subject to a deductible or

6 any applicable copayment cost-sharing requirement, even if:

7               (A) A service is provided on different dates of service;

8 or

9               (B) More than one (1) service is provided on the same date

10 of service.

11              (3) A healthcare insurer shall ensure that an individual's cost-

12 sharing requirement under a health benefit plan that is applicable to a

13 diagnostic examination for breast cancer, including breast magnetic resonance

14 imaging, is no less favorable than the cost-sharing requirement that is

15 applicable to a screening examination for breast cancer.

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