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
2026CaliforniaGeneticsLegislationhttps://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202520260AB1798AB-1798 Genetic testing for life and disability insuranceThis bill would would prohibit a life or disability insurer in California from canceling, limiting, or denying coverage based on a test for the presence of a genetic characteristic, and prohibit a life or disability insurer from requiring, requesting, or soliciting genetic information, using genetic test results, or considering a person’s decisions or actions relating to genetic testing in any manner for an insurance purpose.Supporthttps://triagecancer.org/wp-content/uploads/2026/04/Triage-Cancer-AB1798-Letter-of-Support.pdfScheduled for California Senate Committee on Appropriations (8/13/2026)Contact your representative to ask them to support this legislationhttps://www.votervoice.net/FORCE/campaigns/138258/respond
2026DelawareBiomarker TestingLegislationhttps://legis.delaware.gov/BillDetail?legislationId=143060SS1 for SB120 - An Act to amend the Delaware code ... relating to health insuranceThis bill would require that state-regulated health insurance plans provide coverage for biomarker testing, when the test is supported by medical and scientific evidence.Supporthttps://triagecancer.org/wp-content/uploads/2026/07/Letter-to-DE-Governor-Biomarker-Coverage.pdfPassed by House and Senate (7/1/2026); Awaiting governor's signatureContact the governor to ask him to sign this bill into lawhttps://www.commoncause.org/find-your-representative/
2026MarylandBiomarker TestingProposed Rule/Regulationshttps://health.maryland.gov/mmcp/Documents/Biomarkers%20%26%20Biomarker%20Testing-%20Clinical%20Criteria%20(2.13.2026).pdfMaryland Medicaid Clinical Criteria for Biomarkers & Biomarker TestingLetter to the director of the Maryland Medicaid program, asking to revise the clinical criteria required for biomarker testing coverage, as the program's requirements are more strict than what state law provided for.Supporthttps://triagecancer.org/wp-content/uploads/2026/05/Coalition-comments-MD-Medicaid-biomarker-policy.pdfRegulatory interpretation implementedContact your representative to ask them to support this legislationhttps://www.commoncause.org/find-your-representative/
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.Supporthttps://triagecancer.org/wp-content/uploads/2026/03/OH-Biomarker-Testing-Sign-on-Letter_3.3.26.pdfPassed favorably out of Health Committee (2/18/2026)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/
2026PennsylvaniaFertility PreservationLegislationhttps://www.palegis.us/legislation/bills/2025/hb2649HB 2649 / SB 1315 - An act ... providing for coverage for certain fertility preservation servicesThis bill would require insurance coverage of fertility preservation for individuals who may experience iatrogenic infertility from cancer treatments, including at least three years of storage at an in-network facility.SupportRe-committed to House Appropriations (7/1/2026); Referred to Senate Banking & Insurance (5/21/2026)Contact your representative to ask them to support this legislationhttps://www.thechickmission.org/pennsylvania-advocacy/

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