HB45 Alabama 2025 Session

Summary

Primary Sponsor

Ed OliverRepresentative

Republican

Session

2025 Regular Session

Title

Medicaid Agency, colorectal cancer screening test, coverage required for test based on grade A or B recommendation from U.S. Preventative Services Task Force

Summary

HB45 requires the Alabama Medicaid Agency to cover USPSTF grade A/B noninvasive colorectal cancer screening tests and a follow-up colonoscopy after a positive result, but the coverage ends two years after the effective date (Oct 1, 2025).

What This Bill Does

If passed, the bill would require Medicaid to cover noninvasive screening tests that have an A or B grade from the USPSTF, including gFOBT, FIT, and sDNA-FIT, as long as those tests maintain that rating. It would also require coverage of a colonoscopy when a screening test result is positive. The requirement is temporary, repealed two years after the act’s effective date, which is Oct 1, 2025.

Who It Affects

• Alabama Medicaid beneficiaries who would receive coverage for specified noninvasive colorectal cancer screening tests and for follow-up colonoscopy after a positive result.
• Healthcare providers and facilities serving Alabama Medicaid beneficiaries, who would be reimbursed for the covered tests (gFOBT, FIT, sDNA-FIT) and for colonoscopies following positive screenings.

Key Provisions

• Covers noninvasive colorectal cancer screening tests with an USPSTF grade A or B, including gFOBT, FIT, and sDNA-FIT, as recommendations may be amended.
• Covers colonoscopy when a screening test result is positive.
• Test coverage is contingent on the test maintaining an USPSTF grade A or B rating.
• The act is effective October 1, 2025 and is repealed two years after that date.

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

Subjects

Health