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Bill

A 6087

Requires health insurance policies to fully cover multi-marker testing related to certain patients

2025 Regular Session Introduced by Pamela Hunter and 1 co-sponsor

Bill A 6087 mandates full insurance coverage for multi-marker testing, improving access for cancer patients and supporting informed treatment decisions without out-of-pocket costs.

REFERRED TO INSURANCE
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Bill Summary · A 6087

Summary of Bill A 6087

Bill Information

  • Bill Number: A 6087
  • Title: Requires health insurance policies to fully cover multi-marker testing related to certain patients
  • Status: Referred to Insurance
  • Introduced: February 26, 2025
  • Classification: Bill

Purpose and Intent

Bill A 6087 aims to ensure that health insurance policies provide comprehensive coverage for multi-marker testing, which is a diagnostic tool used to evaluate multiple genetic markers simultaneously. This testing is particularly relevant for patients with specific medical conditions, such as cancer, where understanding genetic variations can significantly influence treatment decisions.

Key Provisions

  • Full Coverage Requirement: The bill mandates that health insurance policies must fully cover the costs associated with multi-marker testing for eligible patients. This includes all related expenses, ensuring that patients do not face out-of-pocket costs for these essential diagnostic services.

  • Eligibility Criteria: While the bill does not specify the exact criteria for patient eligibility, it implies that coverage will be available for patients whose medical conditions warrant the use of multi-marker testing as determined by their healthcare providers.

  • Implementation Timeline: As of the introduction date, the bill is currently referred to the Insurance Committee for further consideration. The timeline for implementation will depend on the legislative process and any amendments that may arise during discussions.

Who Would Be Affected

  • Patients: Individuals diagnosed with conditions that may benefit from multi-marker testing, particularly those with cancer, would directly benefit from this legislation through reduced financial barriers to necessary diagnostic testing.

  • Healthcare Providers: Physicians and healthcare professionals will have the ability to recommend multi-marker testing without concern for insurance coverage issues, potentially leading to better patient outcomes.

  • Insurance Companies: Health insurers will be required to adjust their policies and coverage plans to comply with the new mandate, which may involve changes in their pricing structures and reimbursement processes.

Related Legislation

  • A 6186 (Prior Session): This bill is related to A 6186, which may have addressed similar issues or provided a foundation for the current legislative proposal. Further details on A 6186 would be necessary to understand the full context of the current bill.

Conclusion

Bill A 6087 represents a significant step towards improving access to advanced diagnostic testing for patients with specific medical conditions. By mandating full insurance coverage for multi-marker testing, the bill seeks to enhance patient care and support informed treatment decisions. The ongoing legislative process will determine the final provisions and implementation of this important healthcare initiative.

Compiled from official sources — confirm details with the bill’s official record.

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