SB190 Alabama 2025 Session

Updated Feb 23, 2026

Summary

Primary Sponsor: Steve LivingstonSenator
Republican
Session: 2025 Regular Session
Title: Health care policies; eliminate cost-sharing for prostate screening coverage of high risk men
Summary: SB190 requires annual prostate cancer screening coverage for high‑risk men regardless of age and eliminates most out‑of‑pocket costs for screening in specified groups.
What This Bill Does
The bill requires health plans to cover annual screening for early detection of prostate cancer for two groups: men over age 40 and men who are high risk (African American men or those with a father, brother, or son who had prostate cancer). Minimum screening must include a PSA blood test and a digital rectal exam. It also removes cost-sharing for high‑risk men over 40 and for men over 50, and it prohibits private payors from reducing or denying coverage; providers ordering care in line with the bill cannot be penalized. The act takes effect on October 1, 2025.

Who It Affects
High‑risk men (African American men or men with a first‑degree relative who had prostate cancer) who would receive annual screening coverage regardless of age; their out‑of‑pocket costs for screening over age 40 would be eliminated.
Health plans/insurers operating in Alabama and men aged 50 and older who receive prostate cancer screening, as coverage must be provided and cost-sharing removed for those groups; providers will not be penalized for ordering care aligned with the bill.

Key Provisions
Amends Sections 27-58-1, 27-58-2, and 27-58-4 to recognize higher risk for prostate cancer and to require coverage of annual screening for both high‑risk men and older men.
Defines high risk as African American men and men with a father, brother, or son who has had prostate cancer (or related markers/conditions listed in the bill).
Requires screening for early detection to include at minimum a prostate-specific antigen (PSA) test and a digital rectal examination (DRE).
Costs: no cost-sharing (deductibles, coinsurance, or copayments) for high‑risk men over 40 and for men over 50; cost-sharing otherwise applies as with other covered benefits.
Private payors may not reduce or eliminate coverage due to this act; providers ordering care in line with this chapter cannot be penalized.
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