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 specifically identifies "MEN AT HIGH RISK" for prostate cancer, including African American men and those with a family history of prostate cancer or related genetic markers. Additionally, it mandates that health benefit plans cover annual screenings for prostate cancer, including a prostate-specific antigen blood test and a digital rectal examination, for men over 40 years of age and those at high risk.

Furthermore, the bill stipulates that no cost-sharing requirements will be imposed on men at high risk who are over 40 years of age and on all men over 50 years of age, ensuring that these screenings are free of out-of-pocket costs. It also clarifies that health benefit plans cannot reduce coverage due to the requirements of this chapter and prohibits penalties against healthcare providers who order necessary medical care. 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