Bill > HB420

This bill requires health insurance policies in Georgia to cover two specific medical services starting July 1, 2025: genetic testing for inherited cancer mutations and cancer imaging for individuals with increased cancer risk. The bill defines genetic testing as multi-gene testing that identifies inherited gene variants associated with higher cancer risks, and cancer imaging as diagnostic imaging modalities used to diagnose, stage, and treat cancer according to nationally recognized clinical practice guidelines. These services must be recommended by a healthcare provider and align with established medical guidelines. The coverage is subject to the policy's existing cost-sharing requirements (like deductibles or copayments), and the bill includes provisions to ensure compatibility with health savings account regulations. The bill is designed to help individuals proactively manage their cancer risk by making these important diagnostic tools more accessible. The Insurance Commissioner is tasked with creating rules to implement these requirements, drawing on guidance from professional medical organizations like the National Comprehensive Cancer Network.

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https://www.legis.ga.gov/legislation/70264