HB 927: Insurance; mammogram coverage criteria for females at risk for breast cancer; include certain relatives

Georgia law already requires certain insurance policies to cover mammograms for women considered 'at risk' for breast cancer, including women with specific family history. Currently the law only counts a grandmother, mother, sister, or daughter who has had breast cancer. This bill would change that definition to instead cover any woman who has one or more first or second degree relatives who has had breast cancer, a broader medical category that can include additional relatives such as aunts, half-siblings, or grandchildren depending on how the terms are applied. The change is made identically in two sections of Georgia's insurance code (O.C.G.A. §§ 33-29-3.2 and 33-30-4.2), which govern different types of insurers. The other parts of the 'female at risk' definition, covering personal history of breast cancer, biopsy-proven benign breast disease, and not giving birth before age 30, stay the same. The bill would take effect July 1, 2025, and apply to insurance policies issued, delivered, or renewed in Georgia on or after that date.

• Replaces the specific list of qualifying relatives (grandmother, mother, sister, daughter) with the broader medical category of first or second degree relatives who had breast cancer.
• Makes this identical change in two separate Georgia insurance code sections covering different categories of insurance policies.
• Leaves unchanged the other criteria that qualify a woman as 'at risk,' including personal cancer history and not giving birth before age 30.
• Sets the changes to take effect July 1, 2025, applying to policies issued or renewed in Georgia on or after that date.

Women in Georgia seeking mammogram coverage under insurance policies regulated by O.C.G.A. §§ 33-29-3.2 and 33-30-4.2, and the insurance companies that must apply the updated 'female at risk' definition when deciding coverage eligibility.

More women with a broader range of family history of breast cancer, not just immediate relatives, would qualify as 'at risk' and become eligible for mandatory insurance-covered mammograms, potentially expanding access to early cancer screening for Georgians with a wider family history of the disease.

• Section 1 revises the definition of 'female at risk' in O.C.G.A. § 33-29-3.2 to include women with one or more first or second degree relatives who had breast cancer.
• Section 2 makes the identical revision to the parallel definition in O.C.G.A. § 33-30-4.2.
• Section 3 sets the effective date as July 1, 2025, applying to policies issued, delivered, or renewed on or after that date.
• Section 4 repeals any conflicting laws.

1. 2026-01-12House Second Readers (Cámara de Representantes)
2. 2025-04-04House First Readers (Cámara de Representantes)
3. 2025-04-04House Hopper (Cámara de Representantes)

• Inga Willis (D, HD-055)Patrocinador principal
• Omari Crawford (D, HD-089)
• Tanya Miller (D, HD-062)
• Mekyah McQueen (D, HD-061)
• Edna Jackson (D, HD-165)

• breast cancer screening
• insurance coverage
• mammograms
• women's health