West Virginia legislation · 2025 Regular Session
West Virginia HB3339: Relating to cost sharing for diagnostic and supplemental breast examinations
Status: Introduced, March 13, 2025
The purpose of this bill is to require insurance providers to provide diagnostic and supplemental breast examinations without cost sharing.
What the bill says
To amend and reenact the Code of West Virginia, 1931, as amended, adding a new article, designated §33-64-1, relating to cost sharing for diagnostic and supplemental breast examinations; providing definitions; providing that the Commissioner of Insurance may propose legislative rules; providing requirements for insurance and exceptions thereto if the benefit reduces certain federal benefits; and to provide related matters associated with coverage. Article 64. Breast screening insurance coverage. §33-64-1. Cost-sharing requirements for diagnostic and supplemental breast examinations. (a).
From the introduced text, March 13, 2025:
A BILL to amend and reenact the Code of West Virginia, 1931, as amended, adding a new article, designated §33-64-1, relating to cost sharing for diagnostic and supplemental breast examinations; providing definitions; providing that the Commissioner of Insurance may propose legislative rules; providing requirements for insurance and exceptions thereto if the benefit reduces certain federal benefits; and to provide related matters associated with coverage. Article 64. Breast screening insurance coverage. §33-64-1. Cost-sharing requirements for diagnostic and supplemental breast examinations. (a) As used in this "Diagnostic breast examinations" mean a medically necessary and clinically appropriate breast examination utilizing guidelines established by a professional medical organization, including such examinations using breast MRI, breast ultrasound, or diagnostic mammogram, that or (B) Used to evaluate an abnormality detected by another means of examination. "Health benefit policy" means any individual or group plan, policy, or contract for health care services issued, delivered, issued for delivery, executed, or renewed by an insurer in this state; "Insurer" means an entity subject to the insurance laws and rules of this state, or subject to the jurisdiction of the Insurance Commissioner, that contracts or offers to contract, or enters into an agreement to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services, including government agencies and any insurer subject to §5-16-1 et …