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Bill > HB565


MS HB565

MS HB565
Health benefit plans and Medicaid; require to offer coverage for biomarker testing.


summary

Introduced
01/13/2026
In Committee
02/18/2026
Crossed Over
01/28/2026
Passed
03/06/2026
Dead

Introduced Session

2026 Regular Session

Bill Summary

An Act To Be Known As The "jill Gary Eure Act" Or "jill's Law"; To Require Each Health Benefit Plan, Contract Or Agreement That Is Entered Into Or Renewed On Or After July 1, 2026, Including The Medicaid Program And The State And School Employees Health Insurance Plan, To Offer Coverage For Biomarker Testing For The Purposes Of Diagnosis, Treatment, Appropriate Management, Or Ongoing Monitoring Of An Enrollee's Disease Or Condition When Use Of The Test Is Supported By Medical And Scientific Evidence; To Amend Sections 43-13-117 And 83-5-907, Mississippi Code Of 1972, To Conform To The Provisions Of This Act; And For Related Purposes.

AI Summary

This bill, known as "Jill's Law," mandates that all health benefit plans, including Medicaid and the State and School Employees Health Insurance Plan, must offer coverage for biomarker testing starting July 1, 2026. Biomarker testing involves analyzing a patient's biological samples to detect specific characteristics (biomarkers) that can indicate disease processes or predict response to treatment. This coverage is required when the use of such testing is supported by medical and scientific evidence, such as FDA-approved indications, drug labels, Medicare coverage decisions, or recommendations from recognized clinical practice guidelines or expert consensus statements. The law also aims to ensure that coverage for biomarker testing is provided without causing undue disruption to patient care and requires health plans to make their medical policies publicly available and update them promptly. If a claim for biomarker testing is denied, the health plan must provide a detailed written justification. Furthermore, the bill specifies timelines for approving or denying prior authorization requests for these tests and establishes a clear process for enrollees and providers to request exceptions to coverage policies. The Mississippi Department of Insurance will conduct audits to ensure compliance.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (8)

Last Action

Enrolled Bill Signed (on 03/06/2026)

bill text


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