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." Starting January 1, 2026, health benefit plans must provide coverage for genetic testing if it is clinically useful and recommended by a healthcare provider, as well as for cancer imaging for individuals at increased risk of cancer, also based on clinical utility and provider recommendations.
Additionally, the bill stipulates that coverage for these services will not be subject to annual deductibles, copayments, or coinsurance limits, ensuring that these essential health services remain accessible. However, this provision does not apply to health benefit plans for state and public school employees or self-funded governmental plans. The Insurance Commissioner is tasked with promulgating rules to implement and administer this new subchapter.