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HB 5001

INS-MAMMOGRAM COVERAGE

104th Regular Session Introduced by Kimberly Du Buclet and 39 co-sponsors

Illinois bill eliminates insurance cost-sharing for mammogram screening to improve breast cancer detection access and reduce financial barriers to preventive care.

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Bill Summary · HB 5001

Legislative bill overview

HB 5001 requires insurance plans in Illinois to cover mammogram screening without cost-sharing (copays, coinsurance, or deductibles). The bill expands upon existing federal preventive care mandates to ensure comprehensive access to breast cancer screening across all insurance products offered in the state.

Why is this important

Mammograms are a critical tool for early breast cancer detection, which significantly improves treatment outcomes and survival rates. Removing financial barriers to screening can increase utilization rates, particularly among lower-income individuals and underinsured populations who may delay or skip preventive care due to out-of-pocket costs.

Potential points of contention

  • Insurance premium impacts: Insurers may argue that mandated zero-cost coverage increases overall premiums for all policyholders, spreading costs across the entire risk pool
  • Scope questions: Unclear whether the mandate covers all age groups, frequency of screenings, and imaging modalities (2D vs. 3D mammography), which could affect implementation costs and clinical appropriateness
  • Federal-state overlap: Federal law already requires certain preventive services without cost-sharing; the bill's added value and any conflicts with existing mandates need clarification

Compiled from official sources — confirm details with the bill’s official record.

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