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Indiana Bill HB 1112 Requires Insurance Plans to Fully Cover Breast Cancer Screenings and Examinations Without Cost-Sharing

Original title: Coverage for cancer screening.

Last action · January 20, 2026: Representative Hamilton added as coauthorSponsors: Cherrish Pryor and 1 other

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Beginning July 1, 2026, Indiana requires state employee health plans, accident and sickness insurance policies, and health maintenance organizations to cover diagnostic and s without any deductibles, copayments, or .

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

State employees

State employee health plans must cover diagnostic breast services, outpatient treatments, and rehabilitative services with specific mammography reimbursement standards and zero cost-sharing for diagnostic and supplemental exams.

Directly affected

Insured individuals

Accident and sickness insurance policyholders receive mandated coverage for screening mammograms, diagnostic breast exams, and supplemental exams without cost-sharing requirements.

Directly affected

Health maintenance organization enrollees

Enrollees under basic health care contracts provided by HMOs must be provided coverage for screening mammographies and diagnostic breast examinations without cost-sharing.

Directly affected

Insurers and health maintenance organizations

Health insurers and HMOs are legally required to structure policies to include the mandated breast cancer screenings and diagnostic services without deductibles or copayments.

Key Facts

  • State employee health plans must provide coverage for breast cancer diagnostic services, outpatient treatment services, and rehabilitative services.
  • Accident and sickness insurance policies and health maintenance organizations must cover diagnostic and supplemental breast examinations.
  • Coverage for diagnostic and supplemental breast examinations cannot be subject to any cost-sharing requirements, including deductibles, coinsurance, or copayments.
  • Women aged 35 to 39 are entitled to at least one baseline breast cancer screening mammography before turning 40.
Show all 8 facts
  • Women under 40 who are classified as 'women at risk' are entitled to at least one breast cancer screening mammography every year.
  • Women aged 40 or older are entitled to at least one breast cancer screening mammography every year.
  • Ultrasound services are covered if determined medically necessary by the treating physician.
  • For non-employer-based insurance policies and HMO coverages, insurers and HMOs must offer the required coverage.

Frequently Asked Questions

Who qualifies as a 'woman at risk' under the bill?
A woman at risk includes anyone with a personal history of breast cancer or benign breast disease proven by biopsy, a mother, sister, or daughter who has had breast cancer, or a woman who is at least 30 years of age and has not given birth.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

3 actions
  1. Jan 20, 2026House
    Representative Hamilton added as coauthor
  2. Jan 5, 2026HouseIntroduced
    First reading: referred to Committee on Insurance
  3. Jan 5, 2026House
    Authored by Representative Pryor

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift98% confidence

Elimination of Cost Sharing for Breast Exam Diagnostics

The bill shifts financial responsibility by expressly barring deductibles, copayments, and coinsurance for diagnostic and supplemental breast exams across state employee plans, insurers, and HMOs.

Connected Entities

Department of Health and Human Services, General Assembly, National Cancer Institute and 2 more
OrganizationDepartment of Health and Human Services“Certifies providers for participation in the Medicare program.”Map →
OrganizationGeneral Assembly“Passed the legislative act amending the Indiana Code.”Map →
OrganizationNational Cancer Institute“Defines aesthetic flat closure for reconstructive plastic surgery.”Map →
OrganizationIndiana department of health“Establishes guidelines for mammography services providers.”Map →
OrganizationAmerican College of Radiology“Accredits mammography services providers.”Map →

Sources

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 75)
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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