Breast Cancer Prevention Modifications

HB 314 (Breast Cancer Prevention Modifications) prohibits health insurance plans in Utah from requiring patients to pay copays, deductibles, or other out-of-pocket costs for specific breast examinations. It defines "diagnostic" exams (for known abnormalities) and "supplemental" exams (for screening based on risk factors like family history), covering mammograms, MRIs, ultrasounds, and contrast-enhanced mammography. Insurance plans must cover these exams without cost-sharing if they align with National Comprehensive Cancer Network Guidelines. The law takes effect May 7, 2025, and directly affects all health benefit plans offering breast cancer screening coverage in Utah.