The proposed bill mandates coverage for genetic testing for inherited gene mutations and evidence-based cancer imaging for certain individuals under health benefit plans in Arkansas. It introduces a new subchapter to the Arkansas Code, defining key terms such as "clinical utility," "evidence-based cancer imaging," and "genetic testing for an inherited gene mutation." The bill specifies that starting January 1, 2026, health benefit plans must cover genetic testing for individuals with a personal or family history of cancer, provided the testing is clinically useful and recommended by a healthcare provider. Additionally, it mandates coverage for evidence-based cancer imaging for individuals at increased risk of developing cancer, also contingent on clinical utility and provider recommendation.

The bill further stipulates that this coverage will not be subject to annual deductibles, copayments, or coinsurance limits, ensuring that it does not diminish other benefits under the health plans. However, it excludes certain plans, such as those providing health benefits to state and public school employees and self-funded governmental plans. The Insurance Commissioner is tasked with promulgating rules to implement and administer this new subchapter.