HB40 Alabama 2026 Session

Updated Feb 17, 2026

Summary

Primary Sponsor: Jeremy GrayRepresentative
Democrat
Session: 2026 Regular Session
Title: Health care insurance; to eliminate cost-sharing for screening of men who are at high risk for prostate cancer
Summary: HB40 would require Alabama health insurance plans to cover prostate cancer screening for high-risk men and older men without any out-of-pocket costs, effective October 1, 2026.
What This Bill Does
If enacted, it would require health insurance plans in Alabama to cover prostate cancer screening for high-risk men over 40 and for all men over 50 without deductibles, coinsurance, copays, or other cost-sharing. High-risk groups include African American men and men who have a father, brother, or son with prostate cancer or who have a known genetic risk marker. Screening would include at minimum a PSA blood test and a digital rectal examination (DRE). The changes would apply to plans issued, delivered, or renewed in Alabama and would take effect on October 1, 2026.

Who It Affects
High-risk men in Alabama (African American men and men with a father, brother, or son who had prostate cancer or those with a known genetic risk) would have screening covered without out-of-pocket costs.
Older men in Alabama (over 50) would have screening covered without out-of-pocket costs.

Key Provisions
Amends 27-58-1 to define cost-sharing and define 'high risk' (African American men and men with a first-degree relative who had prostate cancer or a known genetic risk marker) and to require coverage of screening for high-risk men over 40 and all men over 50 without deductibles, coinsurance, or copays.
Amends 27-58-4 to require no cost-sharing for the defined groups, require minimum screening (PSA test and DRE), prohibit private payors from reducing coverage or penalizing providers for orders under this chapter, and establish October 1, 2026 as the effective date.

AI-generated summary using openai/gpt-5-nano on Feb 12, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects: Insurance