This chart includes policy and legislative successes at the state level.
| State | Year Introduced | Issue | Type (Letter, Regulation Comments, Legislation) | Bill Number & Title | Description | Position Statements & Coalition and Triage Cancer Letter of Support | Status | ||
|---|---|---|---|---|---|---|---|---|---|
| Arkansas | 2023 | 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 | Signed into law 4/4/23 | |
| California | 2023 | Biomarker Testing | Legislation | https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB496 | SB496 Biomarker Testing | This bill requires 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 for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring to guide treatment decisions if the test is supported by medical and scientific evidence. The bill does not require a health care service plan or health insurer to cover biomarker testing for screening purposes unless otherwise required by law. | Support | Effective July 1, 2024 | |
| California | 2023 | 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 areferral 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 | Final budget included additional funding for the Cancer Care Equity Act |
| Georgia | 2023 | 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 | Effective 7/1/2023 |
| Illinois | 2023 | 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 | Effective 1/1/2024 | |
| Kentucky | 2023 | 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 | Effective 1/1/2024 | |
| Maryland | 2023 | Biomarker Testing | Legislation | https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb1217?ys=2023RS | HB1217/SB805 | Require health insurance coverage of Biomarker Testing | Support | Effective 1/1/2024 | |
| Nevada | 2023 | 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 | Effective 10/1/23 |
| New Mexico | 2023 | 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 | Effective 1/1/2024 | |
| New York | 2023 | 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 | Effective 4/1/2024 |
| Oklahoma | 2023 | 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 | Effective 1/1/2024 |
| Texas | 2023 | 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 | Effective 9/1/2023 |