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House Bill 300 Alabama 2026 Session

Updated Feb 18, 2026

Summary

Session
2026 Regular Session
Title
Health; to require that coverage for breast cancer screening be provided without charging an insured a deductible or copayment
Summary

HB300 would require Alabama health plans that cover breast cancer screening to provide it without deductibles, copayments, or coinsurance, including diagnostic and supplemental breast examinations, with an effective date of January 1, 2027.

What This Bill Does

The bill requires health benefit plans offered in Alabama that pay for or reimburse breast examinations to cover those services without any cost-sharing. It defines key terms like cost-sharing, diagnostic breast examination, supplemental breast examination, and health benefit plan to clarify what is covered. It prohibits any cost-sharing for supplemental or diagnostic breast examinations when the plan provides coverage for them. The act becomes effective on January 1, 2027.

Who It Affects
  • Insured individuals in Alabama who receive breast cancer screening that is covered by their health plan, who would no longer owe out-of-pocket costs such as deductibles, copayments, or coinsurance for those screenings.
  • Health benefit plans, insurers, and other entities issuing plans in Alabama that cover breast examinations, which would need to remove cost-sharing for supplemental and diagnostic breast examinations.
Key Provisions
  • Prohibits deductibles, copayments, coinsurance, or other cost-sharing for coverage of breast examinations (including diagnostic and supplemental examinations) under health benefit plans.
  • Provides definitions for cost-sharing, diagnostic breast examination, supplemental breast examination, and health benefit plan to determine what is subject to the rule.
  • Applies to plans issued, delivered, or renewed in Alabama and to both group and individual plans; excludes certain limited-benefit or specific exception policies as defined in the bill.
  • Effective date: January 1, 2027.
AI-generated summary using openai/gpt-5-nano on Feb 17, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Insurance

Bill Actions

H

Add Cosponsor - Adopted Roll Call 452

H

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 451

H

Motion to Adopt - Adopted Roll Call 450 4UK243R-1

H

Holk-Jones 1st Amendment Offered 4UK243R-1

H

Motion to Adopt - Adopted Roll Call 449 U9HZ6XD-1

H

Insurance Engrossed Substitute Offered U9HZ6XD-1

H

Third Reading in House of Origin

H

Read for the Second Time and placed on the Calendar

H

Reported Out of Committee House of Origin from House Insurance U9HZ6XD-1

H

Pending House Insurance

H

Read for the first time and referred to the House Committee on Insurance

Calendar

Hearing

House Insurance Hearing

Room 617 at 15:00:00

Bill Text

Votes

Motion to Read a Third Time and Pass as Amended - Roll Call 451

February 17, 2026 House Passed
Yes 98
Abstained 5
Absent 1

Motion to Adopt - Roll Call 450 4UK243R-1

February 17, 2026 House Passed
Yes 100
Abstained 3
Absent 1

Motion to Adopt - Roll Call 449 U9HZ6XD-1

February 17, 2026 House Passed
Yes 101
Abstained 2
Absent 1

Third Reading in House of Origin

February 17, 2026 House Passed
Yes 100
Abstained 3
Absent 1

HBIR: Passed by House of Origin

February 17, 2026 House Passed
Yes 100
Abstained 3
Absent 1

Documents

Source: Alabama Legislature