State Policy and Legislative Advocacy – Current Issues

This chart includes policy and legislative opportunities in various states.

Year IntroducedStateIssueType (Letter, Regulation Comments, Legislation)Bill Number & TitleDescriptionPosition Statements & Coalition and Triage Cancer Letter of SupportStatusAdvocacy Opportunity
2025ColoradoBiomarker TestingProposed Rule/Regulationshttps://drive.google.com/file/d/1qDGLwOC1GcPP1YSF-Jbd6UEr6s_JOlkW/view?pli=1DRAFT Proposed New Bulletin No. B-4.1XX Concerning Coverage of Biomarker Tests in Health Benefit PlansLetter of support suggesting language for regulations to clarify the coverage requirements and implementation timeline of biomarker testing required under CO SB 24-124 that was signed into law last year.Supporthttps://triagecancer.org/wp-content/uploads/2025/08/CO-Biomarker-Reg-Comments-Support-Letter.pdfDraft Bulletin Under ReviewNot At This TimeNot Answered
2025IllinoisGeneticsLegislationhttps://www.ilga.gov/legislation/BillStatus.asp?DocNum=2534&GAID=18&DocTypeID=HB&SessionID=114&GA=104IL HB2534 - Amends the Genetic Information Privacy ActThis bill would amend the Illinois Genetic Information Privacy Act (GIPA) to prevent insurers from asking for genetic testing information in connection with any life insurance policy. SupportRe-referred to Rules Committee (3/21/2025)Contact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
2025IllinoisGeneticsLegislationhttps://www.ilga.gov/legislation/BillStatus.asp?DocNum=3605&GAID=18&DocTypeID=HB&SessionID=114&GA=104IL HB3605 - Amends IL Insurance CodeThis amendment would remove the $50 co-pay for genetic testing of inherited gene mutations for people with a personal or family history of cancer, and add coverage of cancer screenings for individuals with an increased risk of cancer.SupportRe-referred to Rules Committee (4/11/2025)Contact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
2025MaineAccess to CareLegislationhttps://legislature.maine.gov/billtracker/#Paper/1502?legislature=132HP 986, LD 1502 - An Act to Update the Requirements for Health Insurance Coverage of Prostate Cancer ScreeningThis bill requires health insurance companies to provide prostate cancer screening as recommended by a physician with no cost-sharing.SupportCarried over, in the same posture, to any special or regular session of the 132nd Legislature (6/25/2025)Contact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
2025MassachusettsBiomarker TestingLegislationhttps://malegislature.gov/Bills/194/H4339/CommitteeVoteH.4339 (previously H.1227) - An Act relative to patient access to biomarker testing to provide appropriate therapyThis bill would require all state-regulated health insurance plans to provide coverage of biomarker testing for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring of an enrollee’s disease or condition.SupportReferred to Committee on House Ways and Means (12/4/2025)Contact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
2024New JerseyAccess to CareLegislationhttps://www.njleg.state.nj.us/bill-search/2024/A1841NJ A1841/S3060 - An act concerning health insurance coverage for prostate cancer screeningThis bill would expand requirements for health insurance carriers concerning prostate cancer screening and require that coverage be provided without cost sharing.SupportReferred to Assembly Appropriations Committee (11/24/2025) / Referred to Senate Commerce Committee (4/8/2025)Contact the Assembly in each chamber to ask them to support this legislationhttps://www.njleg.state.nj.us/committees/assembly-committees
2025North CarolinaBiomarker TestingLegislationhttps://www.ncleg.gov/BillLookUp/2025/H567NC H567 - Ensure Access to Biomarker TestingThis bill would require health benefit plans to provide coverage for biomarker testing for the purposes of diagnosis, treatment, appropriate care management, or ongoing monitoring of an insured's disease or condition when the testing is supported by medical and scientific evidence, and prohibit plans from charging higher premiums based on results of biomarker testing.SupportPassed First Reading and Referred to Committee On Rules and Operations of the Senate (5/7/2025)Contact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
2025North CarolinaFertility PreservationLegislationhttps://www.ncleg.gov/BillLookup/2025/H744H 744 - Fertility Preservation Pilot ProgramThis bill would establish a Fertility Preservation Pilot Program to assist individuals whose future fertility is in jeopardy as a result of a cancer diagnosis or cancer treatment with obtaining any combination of in vitro fertilization (IVF) or intrauterine insemination (IUI) services; fertility preservation services; or fertility storage services, as appropriate.SupportReferred to the House Committee on Appropriations (4/3/2025)Contact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
2025North CarolinaFertility PreservationLegislationhttps://www.ncleg.gov/BillLookup/2025/hb%20635H 635 - Increase Access to Fertility TreatmentThis bill would required large insured group health plans to provide coverage for fertility diagnostic care, fertility treatment, and fertility preservation services.SupportReferred to House Committee on Health (Serial Referral To Finance Stricken 4/17/2025)Contact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
2025OhioAccess to CareLegislationhttps://ohiohouse.gov/legislation/136/hb33OH HB33 - Require insurance coverage for certain prostate cancer screeningThis bill would require health insurers to cover preventivescreenings for certain men at high-risk fordeveloping prostate cancer.SupportHeld third hearing in Insurance Committee (11/18/2025)Contact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
2025OhioBiomarker TestingLegislationhttps://www.legislature.ohio.gov/legislation/136/hb8OH HB8 - Require health plan and Medicaid coverage of biomarker testingThis bill would require health benefit plans to cover biomarker testing ordered and deemed medically necessary by the qualified treating health care provider for diagnosis, treatment, or ongoing monitoring of a disease or condition.SupportHeld third hearing in Health Committee (4/30/2025)Contact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
2025PennsylvaniaAccess to CareLegislationhttps://www.palegis.us/legislation/bills/2025/hb281PA HB281 - An Act ... providing for coverage for prostate cancer screening.This bill would require insurance coverage for prostate cancer screenings for individuals identified as being at average or high risk for prostate cancer.SupportReferred to Insurance Committee (1/22/2025)Contact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
2025PennsylvaniaFertility PreservationLegislationhttps://www.palegis.us/legislation/bills/2025/hb922HB 922 - An Act ... providing for fertility preservation coverage.This bill would require insurance coverage of fertility preservation for individuals less than 45 years of age who are at risk of iatrogenic infertility.SupportReferred to Insurance Committee (3/17/2025)Contact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
2025WashingtonFertility PreservationLegislationhttps://app.leg.wa.gov/billsummary?BillNumber=1129&Chamber=House&Year=2025#documentSectionHB 1129 - 2025-26; An Act to provide IVF & Fertility PreservationThis bill would require health insurance companies to provide IVF & Fertility preservation to people who need it due to a cancer diagnosis. SupportReferred to Appropriations (1/28/2025)Send a comment on this bill to your legislatorshttps://app.leg.wa.gov/pbc/bill/1129

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