# Iowa Code § 514C.4: Mandated coverage for mammography

> Iowa · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.4

## Section

- **Citation:** Iowa Code § 514C.4
- **Heading:** Mandated coverage for mammography
- **Jurisdiction:** Iowa
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** IA Code / Title XIII / Chapter 514C / Section 514C.4

## Text

(1) (a) A policy or contract providing for third-party payment or prepayment of health or medical expenses shall provide minimum mammography examination coverage, including, but not limited to, the following classes of third-party payment provider contracts or policies delivered, issued for delivery, continued, or renewed in this state.

(1) (a) Individual or group accident and sickness insurance providing coverage on an expense-incurred basis.

(1) (a) An individual or group hospital or medical service contract issued pursuant to chapter 509, 514, or 514A.

(1) (a) An individual or group health maintenance organization contract regulated under chapter 514B.

(1) (a) An individual or group Medicare supplemental policy, unless coverage pursuant to such policy is preempted by federal law.

(1) (b) A long-term care policy or contract is specifically excluded from regulation under this section.

(2) As used in this section, “minimum mammography examination coverage” means benefits which are better than or equal to the following minimum requirements:

(2) (a) One baseline mammogram for any woman who is thirty-five through thirty-nine years of age, or more frequent mammograms if recommended by the woman’s physician.

(2) (b) A mammogram every two years for any woman who is forty through forty-nine years of age, or more frequently if recommended by the woman’s physician.

(2) (c) A mammogram every year for any woman who is fifty years of age or older, or more frequently if recommended by the woman’s physician.

(3) Mammogram benefits may be subject to any policy or contract provisions which apply generally to other services covered by the policy or contract.

(4) The commissioner of insurance shall adopt rules under chapter 17A necessary to implement this section.

89 Acts, ch 289, §1; 92 Acts, ch 1162, §32, 33; 2003 Acts, ch 135, §1 – 3; 2012 Acts, ch 1023, §157

## Nearby sections

- [Iowa Code § 514C.1 Supplemental coverage for adopted or newly born children.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.1.md)
- [Iowa Code § 514C.2 Skilled nursing care covered in hospitals.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.2.md)
- [Iowa Code § 514C.3 Dentist’s services under accident and sickness insurance policies.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3.md)
- [Iowa Code § 514C.3A Disclosures relating to dental coverage reimbursement rates.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3A.md)
- [Iowa Code § 514C.3B Dental coverage fee schedules.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3B.md)
- [Iowa Code § 514C.3C Dental care service plan contracts.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3C.md)
- [Iowa Code § 514C.3D Prior authorization for dental care services.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3D.md)
- [Iowa Code § 514C.3E State-regulated dental care service plans.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3E.md)
- [Iowa Code § 514C.3F Dental carrier recovery of claim overpayment.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.3F.md)
- [Iowa Code § 514C.4 Mandated coverage for mammography.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.4.md)
- [Iowa Code § 514C.4A Supplemental and diagnostic breast examinations.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.4A.md)
- [Iowa Code § 514C.5 Prescription drug benefit restrictions.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.5.md)
- [Iowa Code § 514C.6 Uniformity of treatment — employee welfare benefit plans.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.6.md)
- [Iowa Code § 514C.7 Prohibition on restricting coverage in certain instances involving a diagnosis of a fibrocystic condition.](https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.7.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IA_TXIII_C514C_S514C.4. Check the current official text before relying on it. Not legal advice.
