Revise insurance, Medicaid coverage of breast cancer screenings

HB 619 requires health insurance plans and Medicaid in Ohio to cover specific breast cancer screenings and diagnostic exams for adult women. The bill mandates that all enrollees receive an annual screening mammogram, while women with dense breast tissue or increased risk factors due to family history or genetics must also receive supplemental screenings like MRI or ultrasound. Diagnostic exams, such as biopsies or ultrasounds, are covered when medically necessary to investigate abnormalities found during a screening. Additionally, the legislation sets payment limits for providers based on Medicare reimbursement rates and requires that most screenings be performed at facilities accredited by the American College of Radiology.