Breast Cancer Prevention Imaging Parity
Plain English Summary
This bill requires health insurance plans in North Carolina to cover supplemental and diagnostic breast imaging (such as MRI and ultrasound) with the same cost-sharing as standard mammograms. It also prevents out-of-network providers from billing patients above insurance-approved rates for these breast cancer prevention services.
Arguments in Favor
Supporters argue this bill improves breast cancer detection by ensuring patients have access to advanced imaging technologies without financial barriers. They contend that women at high risk or with dense breast tissue benefit from supplemental imaging, and standardized cost-sharing removes insurance discrimination that could delay lifesaving care. Additionally, the billing restrictions prevent surprise bills from out-of-network providers.
Arguments Against
Opponents may argue the bill increases insurance costs by mandating coverage of additional imaging services, which could raise premiums for all policyholders. They may also contend that limiting out-of-network provider reimbursement rates could discourage providers from participating in networks or reduce availability of services in certain areas. Some may question whether all recommended supplemental imaging is medically necessary for every patient.
AI-generated analysis based on bill text. Always verify with official sources at ncleg.gov. This is not legal or political advice.
Sponsors
Primary Sponsor
Representative · District 102
Primary Sponsor
Representative · District 75
Primary Sponsor
Representative · District 26
Primary Sponsor
Representative · District 88
Cosponsors (33)
Representative · District 61
Representative · District 99
Representative · District 48
Representative · District 92
Representative · District 50
Representative · District 115
Representative · District 41
Representative · District 8
Representative · District 56
Representative · District 72
Representative · District 77
Representative · District 40
Representative · District 45
Representative · District 49
Representative · District 27
Representative · District 36
Representative · District 18
Representative · District 106
Representative · District 22
Representative · District 63
Representative · District 57
Representative · District 11
Representative · District 58
Representative · District 67
Representative · District 66
Representative · District 31
Representative · District 89
Representative · District 32
Representative · District 107
Representative · District 2
Representative · District 103
Representative · District 34
Representative · District 9
Vote Breakdown (1 roll call)
Final Vote
On: Second Reading
Party Breakdown