CatallaxCore
← Back to bills

SB 25-296

signed

Insurance Coverage for Breast Cancer Examinations

Plain-English Summary

AI-generated

Senate Bill 25-296, which has been signed into law, updates insurance requirements for breast cancer screening in Colorado. It ensures that health insurers cover diagnostic and supplemental breast examinations without requiring patients to pay out-of-pocket costs if these exams are medically necessary and follow nationally recognized guidelines. This change affects individuals who need more detailed breast cancer screenings due to higher risk factors or specific medical criteria. Since the bill has been signed, it is now law and insurance companies must comply with its provisions.

Official Summary

The act makes changes to requirements for preventive care coverage by health insurers for breast cancer screening, including: Relocating in statute the high-risk breast cancer screening requirements; Defining and specifying criteria for the use of diagnostic breast examinations and supplemental breast examinations; and Clarifying that, in addition to regular breast cancer screening, diagnostic and supplemental breast examinations that are medically necessary and conducted within nationally recognized screening guidelines do not require cost sharing by the patient.(Note: This summary applies to this bill as enacted.)

Details

Chamber
Senate
First action
2025-05-29
Latest action
2025-04-15
Last action desc.
Introduced In Senate - Assigned to Health & Human Services
OpenStates
View source ↗

Sponsors

Related Legislation

This bill affects (28)

amends
SB 23-284(2023A)· signed
Ensure 12-month Contraception Coverage
amends
HB 24-1025(2024A)· signed
Implement Fertility Coverage for Health Plans
amends
HB 24-1132(2024A)· signed
Support for Living Organ Donors
amends
HB 17-1186(2017A)· signed
Health Coverage Prescription Contraceptives Supply
amends
HB 18-1375(2018A)· signed
Revisor's Bill
amends
HB 22-1278(2022A)· signed
Behavioral Health Administration
amends
HB 25-1309(2025A)· signed
Protect Access to Gender-Affirming Health Care
amends
HB 18-1357(2018A)· signed
Behavioral Health Care Ombudsperson Parity Reports
amends
HB 22-1260(2022A)· signed
Access To Medically Necessary Services For Students
amends
HB 18-1007(2018A)· signed
Substance Use Disorder Payment And Coverage
amends
HB 22-1008(2022A)· signed
Implementation Of Fertility Coverage
amends
HB 23-1110(2023A)· signed
Health-care Coverage For Biomarker Testing
amends
HB 23-1215(2023A)· signed
Limits On Hospital Facility Fees
amends
SB 24-124(2024A)· signed
Health-Care Coverage for Biomarker Testing
amends
HB 25-1002(2025A)· signed
Medical Necessity Determination Insurance Coverage
amends
SB 25-183(2025A)· signed
Coverage for Pregnancy-Related Services
amends
SB 25-196(2025A)· signed
Insurance Coverage Preventive Health-Care Services
amends
SB 18-095(2018A)· signed
Outdated References To "Illegitimate" Children
amends
HB 22-1295(2022A)· signed
Department Early Childhood And Universal Preschool Program
amends
SB 17-242(2017A)· signed
Modernize Behavioral Health Terminology in Colorado Revised Statutes
amends
HB 18-1438(2018A)· signed
Health Care Coverage Reproductive Health Care
amends
SB 23-189(2023A)· signed
Increasing Access To Reproductive Health Care
amends
SB 24-175(2024A)· signed
Improving Perinatal Health Outcomes
amends
HB 22-1264(2022A)· signed
Change Food And Drug Administration To FDA
amends
SB 24-054(2024A)· signed
Diabetes Prevention & Obesity Treatment Act
amends
HB 24-1382(2024A)· signed
Insurance Coverage Pediatric Neuropsychiatric Syndrome
amends
HB 25-1270(2025A)· signed
Patients' Right to Try Individualized Treatments
amends
HB 23-1136(2023A)· signed
Prosthetic Devices For Recreational Activity

Affected by (7)

amends
HB 26-1019(2026A)· signed
Kidney Screening Mandatory Preventive Coverage
relates
HB 25-1002(2025B)· signed
Corporate Income Tax Foreign Jurisdictions
relates
HB 26-1364(2026A)· signed
2025 Consumer Price Index Calculation
relates
SB 25-048(2025A)· signed
Diabetes Prevention & Obesity Treatment Act
relates
SB 25-118(2025A)· signed
Health Insurance Prenatal Care No Cost Sharing
relates
HB 26-1002(2026A)· signed
Provider Participation in Health Insurance
supersedes
HB 26-1122(2026A)· failed
Mandatory Coverage Hormone Replacement Therapy

Votes

BILL
2025-05-02 · House · passYes: 59 · No: 5 · Other:
BILL
2025-04-28 · Senate · passYes: 33 · No: 1 · Other: