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Legislative Year: 2024 Change
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Bill Detail: SB24-124

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Title Health-Care Coverage for Biomarker Testing
Status Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole (04/23/2024)
Bill Subjects
  • Health Care & Health Insurance
House Sponsors A. Hartsook (R)
Senate Sponsors D. Michaelson Jenet (D)
J. Rich (R)
House Committee
Senate Committee Health and Human Services
Date Introduced 02/06/2024
Summary

The bill requires all individual and group health benefit plans to
provide coverage for biomarker testing to guide treatment decisions if the
testing is supported by medical and scientific evidence. The bill defines
biomarker testing as an analysis of a patient's tissue, blood, or other
biospecimen for the presence of an indicator of normal biological
processes, pathogenic processes, or pharmacologic responses to a specific
therapeutic intervention. The required testing under the bill does not
include biomarker testing for screening purposes or direct-to-consumer
genetic tests.
The bill requires the commissioner of insurance to implement
biomarker testing coverage for all individual and group health benefit
plans issued or renewed on or after January 1, 2026.
Biomarker testing is subject to the health benefit plan's annual
deductibles, copayment, or coinsurance but is not subject to any annual
or lifetime maximum benefit limit.
Subject to federal authorization and federal financial participation,
beginning July 1, 2025, the bill includes coverage for biomarker testing
as part of the state medical assistance program to guide treatment
decisions if the testing is supported by medical and scientific evidence.
The bill requires the medical assistance program to have a clear,
easily accessible appeals process if biomarker testing is denied.

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with Amendments
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Fiscal Notes Fiscal Notes (04/19/2024) (most recent)  
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