HB334 Alabama 2025 Session

Summary

Primary Sponsor

Jeremy GrayRepresentative

Democrat

Session

2025 Regular Session

Title

Health care policies; eliminate cost-sharing for prostate screening coverage of high risk men

Summary

HB334 would require health plans to cover annual prostate cancer screening for men at high risk, regardless of age, and eliminate out-of-pocket costs for screening for high-risk men 40 and under.

What This Bill Does

Extends required screening coverage to all high-risk men, regardless of age, with PSA testing and digital rectal exams as the minimum. For high-risk men who are 40 or younger, the screening must be provided without deductibles, copays, or other cost-sharing. Defines who is considered high-risk and ensures private insurance plans and providers follow the new rules without reducing coverage or penalizing orderers of care. The changes take effect on October 1, 2025.

Who It Affects

• High-risk men (African American men and men with a first-degree relative who has had prostate cancer, plus other risk markers listed in the bill) would have annual screening coverage, with no out-of-pocket costs for those 40 and under.
• Health benefit plans/insurers and health care providers would be required to provide this coverage, maintain it without reductions, and not penalize providers who order care that follows the new requirements.

Key Provisions

• Defines COST-SHARING REQUIREMENTS, HEALTH BENEFIT PLAN, MEN AT HIGH RISK, and SCREENING FOR THE EARLY DETECTION OF PROSTATE CANCER (minimum tests: PSA and DRE).
• Requires health benefit plans to offer annual screening for the early detection of prostate cancer for men over 40 and for men at high risk, regardless of age.
• Specifically prohibits cost-sharing (deductibles, coinsurance, copayments, or other out-of-pocket costs) for high-risk men who are 40 years old or younger.
• Private third-party payors may not reduce or eliminate coverage due to this chapter; plans may not terminate services or penalize providers for care ordered under this act.
• Effective date: October 1, 2025.

AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Insurance