South Carolina 2025-2026 Regular Session

South Carolina Senate Bill S0820

Introduced
1/15/26  

Caption

Diagnostic and supplemental breast examination insurance

Impact

The impact of S0820 on state laws focuses significantly on enhancing access to critical medical services specifically related to breast cancer screening and diagnostics. By eliminating cost-sharing requirements for these examinations, the bill aims to remove financial barriers that may deter individuals, particularly those at high risk, from seeking timely evaluations. This legislation complements existing provisions regarding mammograms, thereby further standardizing health insurance coverage for vital breast health services. Additionally, the bill includes stipulations about its applicability concerning federal laws, particularly around Health Savings Accounts, which indicates a thoughtful integration of state and federal healthcare policies.

Summary

Bill S0820 aims to amend the South Carolina Code of Laws by adding Section 38-71-148, which defines essential terms related to health insurance and breast examinations. The primary objective of this bill is to require that health insurance policies in South Carolina provide coverage for diagnostic and supplemental breast examinations without imposing any cost-sharing requirements on policyholders. This legislation is designed to ensure that individuals covered under such plans can access necessary medical examinations without the financial burden typically associated with deductible and copayment structures, thereby promoting better health outcomes.

Contention

Discussion around S0820 may involve notable points of contention, particularly regarding how it fits within the broader landscape of health insurance regulations. Opponents might raise concerns about the potential for increased insurance costs or the implications for different types of health plans if mandates are enforced. Moreover, the exceptions mentioned in context with federal regulations could lead to discussions about the complexities of compliance for both insurers and enrollees. Overall, while the bill has the potential to significantly improve access to breast health services, there remain crucial considerations about its long-term implications on the state’s healthcare economy.

Companion Bills

No companion bills found.

Previously Filed As

SC H3202

Diagnostic and supplemental breast examination insurance

SC A3128

Requires health insurance coverage of diagnostic and supplemental breast examinations without cost-sharing.

SC S1275

Requires health insurance coverage of diagnostic and supplemental breast examinations without cost-sharing.

SC S0158

Coverage for Diagnostic and Supplemental Breast Examinations

SC H0141

State Group Insurance Program Coverage for Diagnostic and Supplemental Breast Examinations

SC S0197

Prohibits an insurance company from imposing any cost-sharing requirements for any diagnostic or supplemental breast examinations.

SC H5430

Prohibits an insurance company from imposing any cost-sharing requirements for any diagnostic or supplemental breast examinations.

SC S2032

Prohibits an insurance company from imposing any cost-sharing requirements for any diagnostic or supplemental breast examinations.

SC H7276

Prohibits an insurance company from imposing any cost-sharing requirements for any diagnostic or supplemental breast examinations.

SC SB409

Requiring that a no cost-sharing requirement be imposed on insureds for diagnostic and supplemental breast examinations for breast cancer.

Similar Bills

No similar bills found.