The following chart contains information about current state advocacy opportunities.
State Policy and Legislative Advocacy – Current Issues
This chart includes policy and legislative opportunities in various states.
| Year Introduced | State | Issue | Type (Letter, Regulation Comments, Legislation) | Bill Number & Title | Description | Position Statements & Coalition and Triage Cancer Letter of Support | Status | Advocacy Opportunity | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | New Mexico | Biomarker Testing | Legislation | https://www.nmlegis.gov/Sessions/23%20Regular/bills/house/HB0073.pdf | HB73 | Require that health plans provide coverage for biomarker testing | Support | Introduced 1/12/2023; Signed into law 4/5/2023; effective 1/1/2024 | Contact your State Representative and ask them to support this bill | https://www.nmlegis.gov/Members/Find_My_Legislator | |
| 2023 | New York | Biomarker Testing | Legislation | https://assembly.state.ny.us/leg/?default_fld=&leg_video=&bn=S01196&term=2023&Summary=Y&Actions=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y&Memo=Y&Text=Y | S1196/A1673 | Require that health plans provide coverage for biomarker testing | Support | https://triagecancer.org/wp-content/uploads/2023/05/TC-Letters-of-support-for-NY-A-1673-and-S-1196.pdf | Introduced 1/10/2023; referred to insurance committee; passed the Senate on June 5; passed the Assembly June 8; sent to Governor Newsome for signature | Contact your State Representative and ask them to support this bill | Assembly Member Search | New York State Assembly |
| 2023 | Washington | Biomarker Testing | Legislation | https://app.leg.wa.gov/billsummary?BillNumber=5074&Year=2023&Initiative=false | SB 5074 (Companion Bill H 1450) | Require that health plans provide coverage for biomarker testing | Support | Introduced 1/9/2023; referred to Health and Long Term Care Committee; Committee Hearing 1/20/2023; passed out of committee; not scheduled for Appropriations, no additional movement expected | Contact your State Representative and ask them to support this bill | https://app.leg.wa.gov/DistrictFinder/ | |
| 2023 | Illinois | Paid Leave | Legislation | https://www.ilga.gov/legislation/fulltext.asp?DocName=&SessionId=110&GA=102&DocTypeId=SB&DocNum=208&GAID=16&LegID=129513&SpecSess=&Session= | SB208 Paid Leave for All Workers Act | Provide all workers in Illinois with up to 40 hours of paid leave per year for any reason | Support | Passed by both chambers on 1/10/2023; sent to Governor for signature on 1/30/2023; signed by the Governor on 3/13/2023, effective 1/1/2024 | |||
| 2023 | Georgia | Biomarker Testing | Legislation | https://www.legis.ga.gov/legislation/63669 | HB 85 | Require health benefit policy coverage for biomarker testing if supported by medical and scientific evidence | Support | https://triagecancer.org/wp-content/uploads/2023/05/TC-support-for-GA-HB-85-Biomarker-Testing.pdf | Introduced 1/26/2023; signed by the Governor 5/2/2023; effective 7/1/2023 | Ask your representative to support this legislation | https://www.legis.ga.gov/find-my-legislator |
| 2023 | Colorado | Biomarker Testing | Legislation | https://leg.colorado.gov/bills/hb23-1110 | H23-1110 | Require health insurance coverage of Biomarker Testing | Support | Introduced 1/23/2023; Passed out of House Health & Insurance Commitee 2/21; in appropriations, amendments failed | Ask your representative to support this legislation | https://leg.colorado.gov/house-district-map | |
| 2023 | Oklahoma | Biomarker Testing | Legislation | http://www.oklegislature.gov/BillInfo.aspx?Bill=sb513&Session=2300 | SB513 | Require health insurance coverage of Biomarker Testing | Support | https://triagecancer.org/wp-content/uploads/2023/06/OK-partner-letter-final.pdf | Introduced 1/23/2023; passed Senate 2/23/2023 and House 4/6/2023; signed by Governor 6/6/2023; effective 1/1/2024 | Ask your representative to support this legislation | http://www.oklegislature.gov/FindMyLegislature.aspx |
| 2023 | Maryland | Biomarker Testing | Legislation | https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb1217?ys=2023RS | HB1217/SB805 | Require health insurance coverage of Biomarker Testing | Support | Introduced 2/10/2013; Passed 3/27/2023; Signed by the Governor 5/3/2023; effective 1/1/2024 | |||
| 2023 | Illinois | Paid Family Leave | Legislation | https://www.ilga.gov/legislation/103/HB/10300HB1006.htm | HB1006 Paid Family Leave Act | Require employers to provide 6 weeks of paid leave to provide care for a family member | Support | Introduced 1/12/2023 | Ask your representative to support this legislation | https://elections.il.gov/ElectionOperations/DistrictLocator/DistrictOfficialSearchByAddress.aspx | |
| 2023 | Connecticut | Biomarker Testing | Legislation | https://cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&which_year=2023&bill_num=976 | SB 976 AN ACT CONCERNING HEALTH COVERAGE MANDATES FOR CERTAIN HEALTH CONDITIONS | Require Commercial Health Insurance plans to cover biomarker testing. | Support | Referred to Committee on 2/8/2023; Committee Hearing 2/14/2023 | Ask your representative to support this legislation | https://cga.ct.gov/asp/menu/cgafindleg.asp | |
| 2023 | Connecticut | Biomarker Testing | Legislation | https://cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&which_year=2023&bill_num=6628 | HB 6628 AN ACT CONCERNING MEDICAID COVERAGE OF BIOMARKER TESTING | Require Medicaid to cover Biomarker Testing | Support | Introduced 1/19/2023; amended and sent to Appropriations | Ask your representative to support this legislation | https://cga.ct.gov/asp/menu/cgafindleg.asp | |
| 2023 | Kentucky | Biomarker Testing | Legislation | https://apps.legislature.ky.gov/record/23rs/hb180.html | HB 180 AN ACT relating to coverage for biomarker testing. | Require Health Insurance coverage of Biomarker Testing | Support | Introduced 2/9/2023; signed by the Governor on 3/23/2023; effective 1/1/2024 | Ask your representative to support this legislation | https://apps.legislature.ky.gov/findyourlegislator/findyourlegislator.html | |
| 2023 | Florida | Biomarker Testing | Legislation | https://www.flsenate.gov/Session/Bill/2023/805 | HB 805: Health Insurance Coverage for Biomarker Testing | Require Health Insurance coverage of Biomarker Testing | Support | Introduced 2/14/2023; Action unlikely this session | Ask your representative to support this legislation | https://www.flsenate.gov/Senators/Find | |
| 2023 | Florida | Biomarker Testing | Legislation | https://www.flsenate.gov/Session/Bill/2023/1218/ByCategory | SB 1218: Biomarker Testing | Require Medicaid to cover Biomarker Testing | Support | Introduced 3/7/2023; Action unlikely this session | Ask your representative to support this legislation | https://www.flsenate.gov/Senators/Find | |
| 2023 | Arkansas | Biomarker Testing | Legislation | https://www.arkleg.state.ar.us/Bills/Detail?id=hb1121&ddBienniumSession=2023%2F2023R | HB 1121: Concerning Coverage For Biomarker Testing For Early Detection And Management For Cancer Diagnoses. | Require Health Insurance coverage of Biomarker Testing for cancer diagnoses | Support | Introduced 1/12/2023; singed into law on 4/4/2023 | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ | |
| 2023 | Minnesota | Biomarker Testing | Legislation | https://www.revisor.mn.gov/bills/bill.php?b=Senate&f=SF1948&ssn=0&y=2023 | S1948/HF1978 | Require Health Insurance coverage of Biomarker testing | Support | Introduced 2/20/2023 | Ask your representative to support this legislation | https://www.leg.mn.gov/ | |
| 2023 | Nevada | Biomarker Testing | Legislation | https://www.leg.state.nv.us/App/NELIS/REL/82nd2023/Bill/9818/Overview | AB155 | As amended, this bill would require insurance coverage of biomarker testing medically necessary for the ongoing monitoring of a cancer diagnosis. | Oppose as amended | https://triagecancer.org/wp-content/uploads/2023/06/NV-AB155-opposed_senate-finance.pdf | Introduced 2/13/2023; passed out of to commmitee on Assembly Health & Human Services Committee; passed the Assembly 6/2/23; passed the Senate 6/5/23; signed by the Governor 6/12/2023; Parts effective 6/13/2023, 7/1/2023, and 10/1/2023 | Ask your representative to support this legislation | https://www.leg.state.nv.us/whosmylegislator/ |
| 2023 | Ohio | biomarker Testing | Legislation | https://ohiohouse.gov/legislation/135/hb24 | HB 24: to require health benefit plan and Medicaid program coverage of biomarker testing | Require health insurance coverage of Biomarker testing | Support | Introduced 2/15/2023; referred to committee; 3rd hearing in committee 6/7/2023 | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ | |
| 2023 | Texas | Biomarker Testing | Legislation | https://capitol.texas.gov/BillLookup/History.aspx?LegSess=88R&Bill=SB989 | SB 989: Relating to health benefit plan coverage for certain biomarker testing | Require health insurance coverage of Biomarker testing | Support | Filed 2/16/2023; Passed the Senate 4/12/2023; referred to House committee; Passed both House and Senate; signed by Governor 5/29/2023; effective 9/1/2023 | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ | |
| 2023 | Texas | Biomarker Testing | Legislation | https://capitol.texas.gov/BillLookup/Actions.aspx?LegSess=88R&Bill=HB3188 | HB3188: Relating to health benefit plan coverage for certain biomarker testing | Require health insurance coverage of Biomarker testing | Support | https://triagecancer.org/wp-content/uploads/2023/06/TX-SB989-partner-letter_final.pdf | Filed 3/1/2023; pending in committee | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ |
| 2023 | California | Insurance Coverage | Legislation | https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB632 | AB 632 Health care coverage: prostate cancer screening | Would allow patients to receive prostate cancer screening without a deductible, copayment, or coinsurance for prostate cancer screening forthose at risk for prostate cancer. | Support | https://triagecancer.org/wp-content/uploads/2023/03/Group-Letter-in-Support-of-AB-632.pdf | Introduced 2/9/2023; referred to committee on health; passed by Assembly; sent to Senate Commitee on Health, amended and passed out of Committee on Health; referred to Committee on Appropriations 6/15/2023; sent to suspense file 6/26/2023 | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ |
| 2023 | California | Insurance Coverage | Budget Change Proposal | https://www.dhcs.ca.gov/Documents/Budget-Highlights/DHCS-FY-2023-24-GB-Highlights.pdf | 2023-24 Governor’s Budget Department of Health Care Services Highlights | The budget change would add funding for positions to support the implementation of the Cancer Care Equity Act, which was passed in 2022, and allows Medi-Cal patients with a complex cancer diagnosis the ability to request a referral to an NCI (National Cancer Institute) Designated Comprehensive Cancer Center. | Support | https://triagecancer.org/wp-content/uploads/2023/03/SB-987-Budget-item-support-ltr3-5-23.pdf | |||
| 2023 | Washington | Fertility Preservation | Legislation | https://app.leg.wa.gov/billsummary?BillNumber=1151&Year=2023&Chamber=House | SHB 1151 Mandating coverage for fertility services | Requires large group health plans, including health plans offered to public employees, to cover the diagnosis of infertility, treatment for infertility, and standard fertility preservation services. | Support - noted support for the legislative record in the Health & Long Term Care Committee | Introduced 1/9/2023: Passed out of the House on 3/7/2023; in Senate Committee on Health & Long Term Care; returned to House Rules Committee 4/23/2023 | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ | |
| 2023 | District of Columbia | Insurance Coverage | Legislation | https://lims.dccouncil.gov/Legislation/B25-0229 | B25-0229, The Cost-Free Coverage for Prostate Cancer Screening Amendment Act of 2023 | The bill would require insurers to provide coverage for prostate cancer screening in accordance with evidence-based guidelines, to include no less than one prostate-specific antigen test and digital rectal exam per year. Insurers would also be prohibited from imposing any deductible, coinsurance, copayment, or other cost-sharing requirement when a patient receives a prostate-specific antigen test and digital rectal exam. | Support | Introduced 3/20/2023; Referred to Committee on Business and Economic Development 4/4/2023; Notice of Intent to Act on B25-0229 Published in the District of Columbia Register | Ask your councilmember to support this legislation | https://www.commoncause.org/find-your-representative/addr/ | |
| 2023 | California | Biomarker Testing | Legislation | https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB496 | SB496 Biomarker Testing | This bill would require a health care service plan contract or health insurance policy issued, amended, or renewed on or after July 1, 2024, to provide coverage for medically necessary biomarker testing, as prescribed, including whole genome sequencing, for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring of an enrollee’s or insured’s disease or condition to guide treatment decisions if the test is supported by medical and scientific evidence, as prescribed. The bill would specify that it does not require a health care service plan or health insurer to cover biomarker testing for screening purposes unless otherwise required by law. | Support | Introduced 2/14/2023; Passed out of Committee on Health; in Appropriations, passed 5/18/23; passed Senate floor vote 5/24/23; referred to House committee on Health | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ | |
| 2023 | Colorado | Biomarker Testing | Legislation | http://leg.colorado.gov/sites/default/files/documents/2023A/bills/2023a_1110_01.pdf | HB 23-1110 | The bill requires all individual and group health benefit plans to provide coverage for biomarker testing if the testing is supported by medical and scientific evidence. Biomarker testing is defined as an analysis of a patient's tissue, blood, or other biospecimen for the presence of an indicator of normal biological processes, pathogenic processes, or pharmacologic responses to a specific therapeutic intervention.The bill requires the commissioner of insurance to implement biomarker testing coverage for all individual and group health benefit plans issued or renewed on or after January 1, 2025. The bill requires expedited prior authorization. It would cover biomarked testing under state assistance programs starting July 1, 2024. | Support | Introducted 1/23/2023; Amended in Health and Insurance Committee and sent to Appropriations for study, no further action likely this session | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ | |
| 2023 | Massachussetts | Biomarker Testing | Legislation | https://malegislature.gov/Bills/193/S689 | SB 689 | This bill requires that biomarker testing be covered for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring of an enrollee’s disease or condition when the test is supported by medical and scientific evidence | Support | https://triagecancer.org/wp-content/uploads/2023/06/MA-SB689-Triage-Cancer-Letter-of-Support.pdf | Introduced 2/16/2023; Committee scheduled hearing 5/2/2023 | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ |
| 2023 | Massachussetts | Biomarker Testing | Legislation | https://malegislature.gov/Bills/193/S689 | HB 1074 | This bill requires that biomarker testing be covered for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring of an enrollee’s disease or condition when the test is supported by medical and scientific evidence | Support | https://triagecancer.org/wp-content/uploads/2023/06/MA-HB1074-Triage-Cancer-Letter-of-Support.pdf | Introduced 2/16/2023; Committee scheduled hearing 5/2/2023 | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ |
| 2023 | Maine | Biomarker Testing | Legislation | https://legislature.maine.gov/LawMakerWeb/dockets.asp?ID=280088559 | LD 1577: An Act to Require Health Insurance Coverage for Biomarker Testing | This bill requires that biomarker testing be covered for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring of an enrollee’s disease or condition when the test is supported by medical and scientific evidence | Support | https://triagecancer.org/wp-content/uploads/2023/06/ME-LD-1577-Triage-Cancer-Letter-of-Support.pdf | Introduced 4/11/2023; sent to Health Committees | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ |
| 2023 | California | Insurance Coverage | Legislation | https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB236 | AB-236 Health care coverage: provider directories | This bill will eliminate "ghost networks" by enforcing requirements that health insurance companies update their provder directories annually. | Support | https://triagecancer.org/wp-content/uploads/2023/06/TC-Letter-of-Support-CA-AB-236.pdf | Introduced 1/13/2023; amended 2/14/2023, amended 3/20/2023; in committee on appropriations | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ |
| 2023 | California | Insurance Coverage | Legislation | https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB4 | AB-4 Covered California; expansion | This bill would allow individuals to purchase health insurance on the Covered California marketplace, regardless of their immigration status | Support | https://triagecancer.org/wp-content/uploads/2023/06/TC-Letter-of-Support-AB-4.pdf | Submitted for Introduction 12/5/2022; amended 3/9/2023; revised 4/12/2023; in committee on appropriations; passed Assembly 5/25/2023; in Senate Committee on Health, amended 6/20 & 6/27 | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ |
| 2023 | Maine | Paid Family and Medical Leave | Legislation | https://legislature.maine.gov/bills/display_ps.asp?paper=SP0800&snum=131&PID=0 | LD 1964 An Act to Implement the Recommendations of the Commission to Develop a Paid Family and Medical Leave Benefits Program | This bill will create a Paid Family and Medical Leave program for Maine workers. This provides extended paid time away from work to take care of oneself or a family member. | Support | https://triagecancer.org/wp-content/uploads/2023/05/Triage-Cancer-Support-for-Maine-LD-1964.pdf | Introduced ; Sent to Committee on Labor and Housing on 5/18/2023; Scheduled for a hearing on Thursday, May 25, 2023 | The Maine Paid Family Leave Coalition provides opportunities for action | https://mainefamilyleave.org/takeaction |
| 2023 | Minnesota | Fertility Preservation | Legislation | https://www.revisor.mn.gov/bills/bill.php?f=SF1704&y=2023&ssn=0&b=senate | SF 1704 | Coverage requirement for infertility treatment | Support | https://triagecancer.org/wp-content/uploads/2023/06/Triage-Cancer-Letter-of-Suppor-for-MN-SF-1704.pdf | Introduced 2/16/2023; Committee recommended amendment 3/8/2023 | Ask your representative to support this legislation using a letter from Resolve | https://p2a.co/n5eiuyt |
| 2023 | Minnesota | Fertility Preservation | Legislation | https://www.revisor.mn.gov/bills/bill.php?f=HF1658&y=2023&ssn=0&b=house | HF1658 | Coverage requirement for infertility treatment | Support | https://triagecancer.org/wp-content/uploads/2023/06/Triage-Cancer-Letter-of-Suppor-for-MN-HF1658.pdf | Introduced 02/13/2023 | Ask your representative to support this legislation using a letter from Resolve | https://p2a.co/n5eiuyt |
| 2023 | Illinois | Paid Leave | Legislation | https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1234&GAID=17&DocTypeID=SB&SessionID=112&GA=103 | SB 1234 | The Family and Medical Leave Insurance Act creates a state-run insurance program that allows Illinois workers to use up to 26 weeks of job-protected leave a year: | support | https://www.iltimetocare.org/home | Introduced 2/2/2023, sent to Labor Committee, 3/10/2023 Rule 3-9(a) / Re-referred to Assignments | Ask your representative to support this legislation through the Time to Care Coalition | https://www.iltimetocare.org/takeaction |
| 2023 | Illinois | Paid Leave | Legislation | https://www.ilga.gov/legislation/billstatus.asp?DocNum=1530&GAID=17&GA=103&DocTypeID=HB&LegID=143835&SessionID=112 | HB 1530 | The Family and Medical Leave Insurance Act creates a state-run insurance program that allows Illinois workers to use up to 26 weeks of job-protected leave a year: | support | https://www.iltimetocare.org/home | Introduced 1/27/2023; 1/31/2023 referred to Rules Committee; 3/8/2023 To Job Growth & Workforce Development Subcommittee; 3/10/2023 Rule 19(a) / Re-referred to Rules Committee | Ask your representative to support this legislation | https://www.commoncause.org/find-your-representative/addr/ |
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