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REFERENCE TITLE: insurance; prostate cancer; cost sharing |
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State of Arizona House of Representatives Fifty-seventh Legislature Second Regular Session 2026
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HB 2617 |
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Introduced by Representative Blackman
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AN ACT
amending title 20, chapter 4, article 3, arizona revised statutes, by adding section 20-841.14; amending title 20, chapter 4, article 9, arizona revised statutes, by adding SECTION 20-1057.21; amending title 20, chapter 6, article 4, arizona revised statutes, by adding section 20-1376.11; amending title 20, chapter 6, article 5, arizona revised statutes, by adding section 20-1406.11; relating to health insurance.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Title 20, chapter 4, article 3, Arizona Revised Statutes, is amended by adding section 20-841.14, to read:
20-841.14. Prostate cancer; high-risk patients; cost sharing; prohibition; definition
A. A hospital service corporation or medical service corporation that issues, amends or renews a subscription contract on or after January 1, 2027 may not impose cost sharing requirements for diagnostic prostate cancer screenings for high-risk subscribers.
B. For the purposes of this section, "High-risk" includes any of the following:
(a) Men who are at least fifty-five years of age.
(b) Men who carry the Breast cancer gene, including the BRCA1 or BRCA2 gene.
(c) Men who have a family history of prostate cancer. For the purposes of this subdivision, "Men who have a family history of prostate cancer" includes a first-degree relative who:
(i) Was diagnosed with prostate cancer.
(ii) Died of prostate cancer.
(iii) Developed a form of cancer that is known to be associated with an increased risk of prostate cancer.
(iv) Was diagnosed with a genetic mutation that is known to be associated with an increased risk of prostate cancer.
(d) Men who are military veterans and who have been exposed to agent orange.
Sec. 2. Title 20, chapter 4, article 9, Arizona Revised Statutes, is amended by adding section 20-1057.21, to read:
20-1057.21. Prostate cancer; high-risk patients; cost sharing; prohibition; definition
A. A health care services organization that issues, amends or renews An evidence of coverage on or after January 1, 2027 may not impose cost sharing requirements for diagnostic prostate cancer screenings for high-risk enrollees.
B. For the purposes of this section, "High-risk" includes any of the following:
(a) Men who are at least fifty-five years of age.
(b) Men who carry the Breast cancer gene, including the BRCA1 or BRCA2 gene.
(c) Men who have a family history of prostate cancer. For the purposes of this subdivision, "Men who have a family history of prostate cancer" includes a first-degree relative who:
(i) Was diagnosed with prostate cancer.
(ii) Died of prostate cancer.
(iii) Developed a form of cancer that is known to be associated with an increased risk of prostate cancer.
(iv) Was diagnosed with a genetic mutation that is known to be associated with an increased risk of prostate cancer.
(d) Men who are military veterans and who have been exposed to agent orange.
Sec. 3. Title 20, chapter 6, article 4, Arizona Revised Statutes, is amended by adding section 20-1376.11, to read:
20-1376.11. Prostate cancer; high-risk patients; cost sharing; prohibition; definition
A. A disability insurer that issues, amends or renews a policy on or after January 1, 2027 may not impose cost sharing requirements for diagnostic prostate cancer screenings for high-risk insureds.
B. For the purposes of this section, "High-risk" includes any of the following:
(a) Men who are at least fifty-five years of age.
(b) Men who carry the Breast cancer gene, including the BRCA1 or BRCA2 gene.
(c) Men who have a family history of prostate cancer. For the purposes of this subdivision, "Men who have a family history of prostate cancer" includes a first-degree relative who:
(i) Was diagnosed with prostate cancer.
(ii) Died of prostate cancer.
(iii) Developed a form of cancer that is known to be associated with an increased risk of prostate cancer.
(iv) Was diagnosed with a genetic mutation that is known to be associated with an increased risk of prostate cancer.
(d) Men who are military veterans and who have been exposed to agent orange.
Sec. 4. Title 20, chapter 6, article 5, Arizona Revised Statutes, is amended by adding section 20-1406.11, to read:
20-1406.11. Prostate cancer; high-risk patients; cost sharing; prohibition; definition
A. A group disability insurer or a blanket disability insurer that issues, amends or renews a policy on or after January 1, 2027 may not impose cost sharing requirements for diagnostic prostate cancer screenings for high-risk insureds.
B. For the purposes of this section, "High-risk" includes any of the following:
(a) Men who are at least fifty-five years of age.
(b) Men who carry the Breast cancer gene, including the BRCA1 or BRCA2 gene.
(c) Men who have a family history of prostate cancer. For the purposes of this subdivision, "Men who have a family history of prostate cancer" includes a first-degree relative who:
(i) Was diagnosed with prostate cancer.
(ii) Died of prostate cancer.
(iii) Developed a form of cancer that is known to be associated with an increased risk of prostate cancer.
(vi) Was diagnosed with a genetic mutation that is known to be associated with an increased risk of prostate cancer.
(d) Men who are military veterans and who have been exposed to agent orange.