VA LEG Breast Exam Cost Sharing

Published on: Apr 9, 2025

On Mar. 24, VA LEG issued bill to prohibit cost sharing for exams.

  • VA LEG issued HB 1828 (SB 1436) to prohibit insurance cost sharing for breast exams.
  • Codified VA INS 38.2-34-2-38.2-3418.1:3 on cost sharing for breast examinations.
  • Bill Provisions
  • Prohibited health insurance carriers from imposing cost sharing for diagnostic breast examinations and supplemental breast examinations on or after Jan. 1, 2026.
  • Including diagnostic mammography, breast magnetic resonance imaging, ultrasounds.
  • Legislative History
  • On Feb. 2, 2025, bill was introduced in House; on Feb. 4, 2025, bill passed House.
  • On Feb. 5, 2025, bill was introduced in Senate; on Feb. 13, 2025, bill passed Senate.
  • On Mar. 24, 2025, bill was signed into law by the governor, bill assigned Chapter 485.
  • Effectiveness
  • Bill provisions become effective on Jul. 1, 2025.
Regulators
VA LEG
Entity Types
Ins
Reference
Ch. 485, Bill HB1828, SB1436, 3/24/2025; Citation: VA INS 38.2-34-2-38.2-3418.1;
Functions
Claims/Accelerated Benefits; Compliance; Legal; Operations
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Mar 24, 2025
Effective Date
Jul 1, 2025
Rule ID
249945
Linked to
N/A
Reg. Last Update
Mar 24, 2025
Report Section
US Insurance