SB 190 Alabama Senate · 2025 Regular Session

Health care policies; eliminate cost-sharing for prostate screening coverage of high risk men

SB 190 requires health insurance plans to cover prostate cancer screenings for certain groups of men. Specifically, it mandates coverage for African American men and men with a first-degree relative who had prostate cancer, starting at age 40. The bill also requires coverage for all men over 50 years of age. For both these high-risk men over 40 and all men over 50, these screenings must be provided without deductibles, copayments, or other cost-sharing requirements.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2025

Committee Review

Apr 2025

Senate Passage

Apr 2025

House Passage

Governor

Introduced Feb 20, 2025 Last action Apr 24, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Engrossed · 6 edits · Apr 8, 2025

MODERATE

This bill was amended to expand prostate cancer screening coverage requirements for men of all ages, not just those over 40, and to clarify eligibility criteria for high-risk individuals. The changes also updated the effective date to October 1, 2025, and added protections against discrimination against physicians who order covered screenings.

Scope change

The bill now applies to all men regardless of age for high-risk individuals, whereas the original version only required coverage for men over 40.

ELIGIBILITY

Screening coverage now applies to all men over 40, not just those over 40 in the original version.

High-risk definition now includes men with a father, brother, or son affected by prostate cancer, plus genetic markers.

REQUIREMENT

High-risk men under 40 now receive coverage without deductibles, copayments, or cost-sharing.

TIMELINE

Effective date changed from October 1, 2007 to October 1, 2025.

DEFINITION

Added disability income and other limited benefit policies to the list of excluded coverage types.

ENFORCEMENT

Added protections preventing plans from penalizing physicians who order covered screenings.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Apr 23, 2025

Lower · Passed

Reported Out of Committee Second House

lower

Apr 9, 2025

Lower · Passed

Pending Committee Action in Second House (Insurance)

lower

Apr 8, 2025

Upper · Passed

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 556

upper

Apr 8, 2025

Upper · Passed

Livingston motion to Adopt - Adopted Roll Call 555

upper

Apr 8, 2025

Introduced

Livingston 1st Amendment Offered

upper

Apr 8, 2025

Upper · Passed

Livingston motion to Adopt - Adopted Roll Call 554

upper

Apr 8, 2025

Introduced

Banking and Insurance 1st Substitute Offered (Banking and Insurance)

upper

Mar 5, 2025

Upper · Passed

Reported Out of Committee House of Origin

upper

Feb 20, 2025

Upper · Passed

Pending Committee Action in House of Origin (Banking and Insurance)

upper

1 primary · 0 co-sponsors