THE BILL ITSELF
SB 1372
Coverage for Cancer Imaging and Genetic Testing
Florida Senate - 2026 SB 1372 By Senator Rodriguez 40-01107-26 20261372__
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A bill to be entitled
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An act relating to coverage for cancer imaging and
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genetic testing; creating s. 627.42398, F.S.; defining
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terms; requiring health insurers and health
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maintenance organizations to provide certain coverage;
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prohibiting such coverage from being subject to cost
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sharing requirements; providing applicability;
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providing an effective date.
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Be It Enacted by the Legislature of the State of Florida:
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Section 1. Section 627.42398, Florida Statutes, is created
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to read:
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627.42398 Coverage for cancer imaging and genetic testing.—
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(1) As used in this section, the term:
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(a) “Cost-sharing requirements” means a deductible,
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coinsurance, copayment, or similar out-of-pocket expense.
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(b) “Evidence-based cancer imaging” means imaging
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modalities used in accordance with the most recent version of
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the National Comprehensive Cancer Network clinical practice
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guidelines.
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(c) “Genetic testing for an inherited mutation” means
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germline multi-gene testing for an inherited mutation associated
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with an increased risk of cancer, which testing is recommended
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in evidence-based clinical practice guidelines.
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(2) A health insurer issuing a health insurance policy, or
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a health maintenance organization issuing a health maintenance
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contract, in this state shall provide coverage for all of the
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following:
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(a) Genetic testing for an inherited mutation for an
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individual with a personal or family history of cancer when such
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testing is recommended by a licensed health care professional.
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(b) Evidence-based cancer imaging for individuals at
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increased risk of cancer, as recommended by the National
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Comprehensive Cancer Network clinical practice guidelines.
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(3) Coverage required under subsection (2) may not be
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subject to any cost-sharing requirements.
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(4) If, under federal law, the application of subsection
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(3) would result in health savings account ineligibility under
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s. 223 of the Internal Revenue Code, the prohibition under
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subsection (3) applies only to health savings account qualified
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high-deductible health plans with respect to the deductible of
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such a plan after the person has satisfied the minimum
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deductible under s. 223 of the Internal Revenue Code, except
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with respect to items or services that are preventive care
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pursuant to s. 223(c)(2)(C) of the Internal Revenue Code, in
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which case the requirements of subsection (3) apply regardless
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of whether the minimum deductible under s. 223 of the Internal
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Revenue Code has been satisfied.
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Section 2. This act shall take effect July 1, 2026.