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HB 1389

Mammography screening; coverage for low-dose mammography screening; examinations; definition; effective date.

2026 Regular Session Introduced by Melissa Provenzano and 1 co-sponsor

Oklahoma bill mandates health insurance coverage of low-dose mammography screening without patient cost-sharing to improve early breast cancer detection access.

Filed with Secretary of State
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Bill Summary · HB 1389

Legislative bill overview

HB 1389 requires health insurance plans in Oklahoma to cover low-dose mammography screening for individuals at average risk, expanding access to preventive breast cancer detection. The bill defines coverage requirements and establishes when such screenings must be provided without cost-sharing to patients.

Why is this important

Mammography screening is a primary tool for early breast cancer detection, which significantly improves treatment outcomes and survival rates. By mandating insurance coverage, the bill removes financial barriers that may prevent people from accessing preventive care, particularly affecting those with limited means.

Potential points of contention

  • Insurance cost implications: Insurers may argue that mandated coverage increases premiums for all policyholders, even those who don't use the service
  • Age and risk assessment criteria: Defining "average risk" and appropriate screening ages involves medical judgment; different guidelines exist (age 40 vs. 50 for routine screening), creating debate about optimal policy
  • Employer burden: Small businesses offering health plans may face higher costs, potentially affecting their competitiveness or employee benefits packages

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

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