Beginning January 1, 2026, Idaho women who are considered at higher risk for breast cancer will have expanded access to important screening options thanks to a new statewide law. This update is designed to make early detection more accessible by removing some of the financial barriers women often face when additional imaging is recommended.
Under this law, many state-regulated health plans must now cover one supplemental breast screening exam each year for eligible high-risk individuals at no out-of-pocket cost, as long as the exam is done with an in-network provider. This supplemental screening is in addition to your routine yearly mammogram and may include a breast MRI, contrast-enhanced mammogram, or ultrasound, depending on what your healthcare provider feels is best for you.
So, who is considered “high-risk”? The law outlines several factors, including:
- A strong family or personal history of breast cancer
- Certain genetic risks, such as BRCA mutations
- Prior radiation to the chest
- Very dense breast tissue
- A calculated lifetime breast cancer risk above 20% using established risk models
If any of these apply to you, this change could make a meaningful difference in the type of screening available and how easily you can access it.
It’s important to note that this law applies only to certain insurance plans, so coverage may vary. The best next steps are to:
- Continue your yearly mammogram.
- Talk with your provider about whether you meet high-risk criteria.
- Contact your insurance plan to confirm your specific coverage.
Early detection saves lives. Understanding your risk—and the resources now available to you in Idaho—is an empowering step toward proactive breast health.