Bill > HB1079

This bill mandates that health insurance plans in Arkansas, starting January 1, 2026, must provide coverage for two specific medical services without additional out-of-pocket costs: genetic testing for inherited gene mutations and evidence-based cancer imaging. For genetic testing, the bill requires coverage for individuals with a personal or family history of cancer when the test provides clinical utility (meaningful information that can guide treatment) and is recommended by a healthcare provider, supported by recognized medical guidelines like the National Comprehensive Cancer Network recommendations. Similarly, evidence-based cancer imaging must be covered for individuals at increased risk of cancer, also following established clinical guidelines. The bill defines key terms like "health benefit plan" and excludes certain types of insurance plans from these requirements, such as dental-only or disability income plans. The coverage must be provided without annual deductibles, copayments, or coinsurance limits, though some exceptions exist for state and public school employee plans and self-funded governmental plans. The bill also includes provisions to ensure compatibility with health savings account regulations, ensuring that preventive care services remain covered. The Insurance Commissioner is tasked with creating rules to implement these new requirements.

Business and Industry, Health and Social Services

https://arkleg.state.ar.us/Bills/Detail?id=hb1079&ddBienniumSession=2025%2F2025R