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Senate Bill 177 Alabama 2026 Session

Updated Feb 17, 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

SB177 would prohibit cost-sharing for breast cancer screening and related diagnostic imaging in Alabama health benefit plans, effective January 1, 2027.

What This Bill Does

Requires any Alabama health benefit plan that covers breast examinations, including mammography, or diagnostic imaging of the breast to provide the coverage without any deductible, copayment, or coinsurance. It also prohibits cost-sharing for supplemental breast examinations used to screen for breast cancer when there is no abnormality or suspicion, based on factors like medical history or family history, as recommended by a physician. The bill includes definitions of key terms to clarify the scope of coverage. The effective date is January 1, 2027.

Who It Affects
  • Individuals and employees enrolled in Alabama health benefit plans that cover breast examinations or breast imaging, who would not pay out-of-pocket costs for these services.
  • Health benefit plan sponsors/issuers in Alabama, who must provide no-cost-sharing coverage for the described breast screening and imaging services.
Key Provisions
  • No cost-sharing (deductibles, copayments, or coinsurance) for screening breast examinations, including mammography, in plans that cover these services.
  • No cost-sharing for diagnostic breast examinations and associated imaging used to evaluate abnormalities or suspected conditions.
  • No cost-sharing for supplemental breast examinations when there is no abnormality but a patient is at higher risk (per physician recommendation).
  • Effective date: January 1, 2027.
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

Bill Actions

H

Pending House Insurance

H

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

S

Engrossed

S

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 348

S

Coleman-Madison motion to Adopt - Adopted Roll Call 347 NRSEXTT-1

S

Coleman-Madison 1st Amendment Offered NRSEXTT-1

S

Coleman-Madison motion to Adopt - Adopted Roll Call 346 PSLBYEG-1

S

Coleman-Madison motion to Table - Adopted Voice Vote KHRN8U5-1

S

Banking and Insurance 1st Amendment Offered KHRN8U5-1

S

Banking and Insurance 2nd Amendment Offered PSLBYEG-1

S

Third Reading in House of Origin

S

Read for the Second Time and placed on the Calendar

S

Reported Out of Committee House of Origin

S

Banking and Insurance 2nd Amendment PSLBYEG-1

S

Banking and Insurance 1st Amendment KHRN8U5-1

S

Pending Senate Banking and Insurance

S

Read for the first time and referred to the Senate Committee on Banking and Insurance

Calendar

Hearing

Senate Banking and Insurance Hearing

Committee Room 320 at 09:30:00

Bill Text

Votes

Motion to Read a Third Time and Pass as Amended - Roll Call 348

February 10, 2026 Senate Passed
Yes 30
Abstained 1
Absent 4

Third Reading in House of Origin

February 10, 2026 Senate Passed
Yes 30
Abstained 1
Absent 4

SBIR: Passed by House of Origin

February 10, 2026 Senate Passed
Yes 30
Abstained 1
Absent 4

Documents

Source: Alabama Legislature