What You Need to Know About Supplemental Breast Cancer Screenings in Your State

Taking charge of your breast health begins with being informed about your options. For women with dense breast tissue, early detection poses unique challenges — standard mammograms often fail to detect abnormalities in dense tissue, increasing the need for advanced screenings like MRIs and ultrasounds. These tests can be life-saving, but whether they’re covered by insurance depends heavily on where you live.

Across the United States, the landscape of coverage is uneven. Currently, 29 states and the District of Columbia mandate insurance coverage for supplemental screenings for women with dense breast tissue or abnormal mammograms. These laws aim to improve access to advanced diagnostics, bridging critical gaps in early detection and reducing the financial burden on patients.

Some states have set an even higher standard. In New York, Connecticut, and Illinois, insurers must cover supplemental screenings without requiring a copay, removing financial obstacles that often deter women from pursuing additional testing. By understanding your state’s laws and your insurance coverage, you can better advocate for your health and make informed decisions.

The chart below outlines the current status of supplemental breast cancer screening laws across the U.S., helping you navigate the landscape of coverage and ensuring you have the information you need to prioritize your health.

 

State Law Status Effective Date Copay/Deductible Requirement
Alabama No law N/A N/A
Alaska Enacted January 1, 2025 No
Arizona Enacted 90 days post-2023 session Yes
Arkansas Enacted August 2017 No
California No law N/A N/A
Colorado Enacted January 1, 2021 No (if "non-invasive")
Connecticut Enacted October 1, 2006 No
Delaware Enacted December 31, 2024 No
Florida No law N/A N/A
Georgia Enacted January 1, 2024 No
Hawaii No law N/A N/A
Idaho No law N/A N/A
Illinois Enacted Various dates No
Indiana Enacted July 1, 2013 Yes
Iowa Enacted January 1, 2025 No
Kansas No law N/A N/A
Kentucky Enacted July 31, 2017 No
Louisiana Enacted January 1, 2021 No
Maine Enacted January 1, 2024 No
Maryland Enacted Various dates No
Massachusetts Enacted January 1, 2026 No
Michigan No law N/A N/A
Minnesota Enacted Various dates No
Mississippi Enacted July 1, 2024 No
Missouri Enacted Various dates No
Montana Enacted October 1, 2023 No
Nebraska Enacted January 1, 2024 No
Nevada Enacted January 1, 2024 No
New Hampshire Enacted January 1, 2025 No
New Jersey Enacted Various dates No
New Mexico Enacted January 1, 2024 No
New York Enacted Various dates No
North Carolina Bill Introduced TBD TBD
Ohio Enacted September 23, 2022 Yes
Oklahoma Enacted Various dates No
Oregon Enacted January 1, 2024 No
Pennsylvania Enacted January 1, 2025 No
Rhode Island Enacted January 1, 2024 Yes
South Carolina Bill Introduced TBD TBD
Tennessee Enacted August 9, 2023 No
Texas Enacted Various dates No
Vermont Enacted Various dates No
Washington Enacted Various dates No
Washington D.C. Enacted March 22, 2019 No
West Virginia Bill Introduced TBD TBD
Wisconsin No law N/A N/A
Wyoming No law N/A N/A

 

Note: "No law" indicates that the state has not enacted legislation requiring insurance coverage for supplemental breast imaging as of October 1, 2024.

It's important to recognize that insurance coverage can vary based on your specific plan and state regulations. For the most accurate and personalized information, consult your healthcare provider and insurance company to understand the coverage available to you.

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