State Public Policy Initiatives

HB300/SB177 will require most health insurers to cover supplemental and diagnostic breast imaging (mammograms, MRIs and ultrasounds) with no patient cost-sharing. 

HB40/SB19 will require most health insurers to cover prostate cancer screening for men at increased risk with no copay, deductible or coinsurance.

HB148 will expand the current law covering supplemental and diagnostic breast imaging, adding biopsy and consultation to the list of services covered with no patient cost-sharing.

SB1347 will require most health plans to cover fertility preservation for individuals who will encounter medically-induced infertility due to cancer treatment.

HB2617 will require most health insurers to cover prostate cancer screening for men age 50 or older, and those at increased risk of cancer, before age 50, with no copay, deductible or coinsurance.

SB1165 will require most health insurers to cover guideline-recommended breast screenings (breast MRIs, diagnostic mammograms, and breast ultrasounds) and diagnostic imaging with no patient cost-sharing. 

AB1570 will require most health insurers to cover supplemental and diagnostic breast imaging (mammograms, MRIs and ultrasounds) with no patient cost-sharing based on National Comprehensive Cancer Network (NCCN) guidelines. 

B26-0486 will expand the fertility services provided under existing law to include oocyte cryopreservation (storage) for 10 years.

HB1339/SB1372 will require most health insurers to cover genetic testing for those with a personal or family history of cancer, and coverage of the associated NCCN guideline-recommended cancer screenings with no patient cost-sharing. 

HB137 will require the state Medicaid program to cover a mammogram and one (1) supplemental breast screening each year for women ages 25-40 who are at increased risk of cancer (subject to the availability of funds).

HB589 will extend coverage of fertility services, including preservation and IVF, to qualified Medicaid recipients.

HB420 will require most health insurers to cover genetic testing for those with a personal or family history of cancer, and coverage of the associated guideline-recommended cancer screenings with no patient cost-sharing. 

HB588 will expand the current law to include at least three (3) egg retrievals with unlimited embryo transfers in accordance with the American Society for Reproductive Medicine or a comparable organization’s guidelines.

SB23 will update the current statute to require health plans that cover IVF to provide equitable coverage for all couples—including same-sex couples, transgender persons, and individuals, regardless of marital status—and extend coverage to include at least three (3) IVF cycles.

HB139/SB642 will require most health plans to cover fertility preservation for patients under the age of 26 who may become infertile due to medically necessary cancer-related treatment. 

SB2799 will prohibit life, long-term care and disability insurers from using genetic information when considering benefits, fees or coverage determinations.

HB3605 will amend current law by removing the $50 copay for genetic testing and eliminating patient cost-sharing for NCCN guideline-recommended high-risk, supplemental cancer screenings.

HB1112 will require that most health insurers cover supplemental and diagnostic breast imaging (mammograms, MRIs and ultrasounds) with no patient cost-sharing for certain women at increased risk of breast cancer. 

SF130 will require most health insurers to provide coverage for the diagnosis and treatment of infertility, including standard fertility preservation services and IVF.

HB20 will require most health insurers to cover at least two (2) cycles of in vitro fertilization (IVF), intrauterine insemination, and any other process using assisted reproductive technology.

HB135 will revise the current statute, expanding coverage of supplemental and diagnostic breast imaging (mammograms, MRIs and ultrasounds) with no patient cost-sharing to include short-term, limited-duration and student health insurance plans.

HD 5327 will prohibit life, long-term care and disability insurers from using genetic information when considering benefits, fees or coverage determinations.

HD4994 will revise the current law, expanding coverage of medically appropriate breast screenings (breast mammograms, MRIs and ultrasounds) and diagnostic imaging with no patient cost-sharing to include active or retired state employees.

H4554 will expand the current law to require most insurers and Medicaid to cover fertility preservation for individuals who need treatment or have a condition that may impair their fertility by surgery, radiation, chemotherapy, or other medical treatment.

HB5205 will require most health insurers to cover guideline-recommended breast screenings (breast MRIs, diagnostic mammograms, and breast ultrasounds) and diagnostic imaging with no patient cost-sharing. 

HF703/SF1302 will require most health insurers to cover genetic testing for those with a personal or family history of cancer, and coverage of the associated NCCN guideline-recommended cancer screenings with no patient cost-sharing. 

HF1758/SF1961 will facilitate Medicaid and private/commercial insurance coverage of the diagnosis and treatment of infertility, including fertility preservation and IVF.

SB2120 will require most health insurers to cover annual prostate cancer screening for men at increased risk of cancer, ages 40-49, and men age 50 or older at average-risk of cancer, with no copay, deductible or coinsurance.

SB2121 will facilitate insurance coverage of fertility preservation services for individuals who undergo a medically necessary treatment that may cause medically-induced (iatrogenic) infertility.

HB2635 will require the state Medicaid program to cover the diagnosis and treatment of infertility, including IVF.

HB2724/SB900 will require individual and group health plans (with 25 or more employees) to cover the diagnosis and treatment of infertility, including IVF.

HB1879 will require most health insurers to cover genetic counseling and multigene panel genetic testing for individuals assessed to be at an increased risk, with no patient cost-sharing. 

LB338 will prohibit life, long-term care and disability insurers from using genetic information when considering benefits, fees or coverage determinations.

A1142/S1796 will require most group health plans to cover prostate cancer screening for men over age 50, and men ages 40-49 with a family history of prostate cancer or other high-risk factors, with no copay, deductible or coinsurance.

S1275 will require most health insurers to cover guideline-recommended breast screenings (breast MRIs, diagnostic mammograms, and breast ultrasounds) and diagnostic imaging with no patient cost-sharing. 

A6561/S6551 will modify current statute to require coverage of image-guided breast biopsies, with patient cost-sharing.

A183/S3029 will establish a state board for genetic counseling and licensure of genetic counselors. 

A686/S520 will ensure ovarian cancer survivors have insurance coverage for medically necessary coverage of genetic and biomarker testing.

A3229/S6214 will prohibit life, long-term care and disability insurers from using genetic information when considering benefits, fees or coverage determinations. 

H297/S553 will require most health insurers to cover high-risk/supplemental breast screenings (breast MRIs, diagnostic mammograms, and breast ultrasounds) and diagnostic imaging with no patient cost-sharing. 

SB668/HB697 will establish a state Genetic Counselors Licensure Board and licensure of qualified genetic counselors within the state.

HB744 will launch a 7-year pilot program that awards local universities (3 grantees) to provide fertility services to uninsured individuals and those whose insurance does not cover these services.

HB271 makes changes to the current statute, adding diagnostic breast imaging, in addition to supplemental breast cancer screening, without patient cost-sharing. Also adds Medicaid to the insurers covered by the law.

HB33 will require private/commercial health insurers to cover prostate screenings with no patient cost-sharing for individuals at increased risk.

HB4155 will require most health plans to cover fertility preservation and IVF.

SB351 will require most health plans to cover in vitro fertilization (IVF).

HB281/SB447 will require most health insurers to cover prostate cancer screening with no cost-sharing for individuals at increased risk.

HB7276/S2032 will require that most health insurers cover supplemental breast screenings (mammograms, MRIs and ultrasounds) for individuals at increased risk of breast cancer and diagnostic imaging with no patient cost-sharing. 

H3202/S820 will require most health insurers to cover guideline-recommended breast screenings (breast MRIs, diagnostic mammograms, and breast ultrasounds) and diagnostic imaging with no patient cost-sharing. 

H2357 will prohibit life, long-term care and disability insurers from using genetic information when considering benefits, fees or coverage determinations.

H302 will facilitate private/commercial insurance coverage of fertility preservation and IVF; requests CMS approval to cover these services for Medicaid recipients.

HB328 will make the diagnosis and treatment of infertility, including fertility preservation and in-vitro fertilization (IVF), essential health benefits, requiring coverage by most health plans in the state.

SB6202 would require Medicaid coverage of fertility preservation for patients undergoing medical treatments that may leave them infertile.

HB1129/SB5121 will facilitate private/group health insurance and Medicaid coverage of fertility preservation.

SB518 will require most health insurers to cover supplemental breast screenings (breast MRIs, diagnostic mammograms, and breast ultrasounds) and diagnostic imaging with no patient cost-sharing based on NCCN or other professional guidelines. 

SB107 will require most health insurers to cover fertility preservation and treatment for individuals who are or may become infertile due to therapy or surgery.

AB263/SB264 will require that most health insurers, including Medicaid, cover supplemental and diagnostic breast imaging with no patient cost-sharing.