The bill amends Sections 27-58-1, 27-58-2, and 27-58-4 of the Code of Alabama 1975 to enhance health insurance coverage for prostate cancer screening. It introduces new definitions, including "COST-SHARING REQUIREMENTS," which refers to any out-of-pocket expenses imposed on insured individuals for receiving covered treatments or services. The bill also defines "MEN AT HIGH RISK" as African American men and those with a family history of prostate cancer or related conditions. Additionally, it mandates that health benefit plans cover annual screenings for prostate cancer, specifically targeting men over 40 years of age and younger high-risk men, without imposing any cost-sharing requirements.
Furthermore, the bill removes the previous age limit of 50 for coverage and ensures that no cost-sharing requirements are imposed on men at high risk who are over 40 years of age. It also clarifies that health benefit plans cannot reduce or eliminate coverage due to the requirements set forth in this chapter. The act is set to take effect on October 1, 2025.
Statutes affected: Introduced: 27-58-1, 27-58-2, 27-58-4
Engrossed: 27-58-1, 27-58-2, 27-58-4