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Bill > SB2694


MS SB2694

MS SB2694
Health insurance; require coverage for biomarker testing for certain purposes when supported by medical and scientific evidence.


summary

Introduced
01/19/2026
In Committee
02/16/2026
Crossed Over
02/11/2026
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

An Act To Require Each Health Benefit Plan, Contract Or Agreement That Is Entered Into Or Renewed On Or After July 1, 2026, 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 The Test Is Supported By Medical And Scientific Evidence; To Require An Insurer To Provide Specific Written Justification For Any Denied Claim For Coverage Of Testing That Is Supported By Such Evidence; To Authorize The Department Of Insurance To Conduct Periodic Audits And Reviews To Ensure Compliance With This Act; To Define "biomarker Testing" And Other Terms Used In This Act; To Amend Sections 43-13-117 And 83-5-907, Mississippi Code Of 1972, To Conform To The Preceding Provisions; And For Related Purposes.

AI Summary

This bill mandates that health benefit plans, starting July 1, 2026, must cover biomarker testing for diagnosing, treating, managing, or monitoring diseases and conditions when supported by medical and scientific evidence, including guidelines from nationally recognized clinical practice guidelines or consensus statements. Insurers must provide specific written reasons if they deny coverage for such tests, and the Department of Insurance will conduct audits to ensure compliance. The bill also defines "biomarker testing" as the analysis of a patient's biological samples for biomarkers, which are characteristics indicating biological processes or responses to treatment, and makes conforming amendments to existing Mississippi Code sections related to Medicaid and health insurance appeals.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (9)

Last Action

Referred To Public Health and Human Services;Insurance (on 02/16/2026)

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