Requiring insurance coverage of certain genetic testing without cost sharing
SB 28 requires health insurance plans in West Virginia to cover clinical genetic testing for inherited cancer-related gene mutations (for individuals with a family history of cancer, as recommended by a doctor) and evidence-based cancer imaging (for those at increased cancer risk, per medical guidelines) without any cost-sharing like copays or deductibles. This applies to all individual, group, and public employee health insurance policies issued, renewed, or adjusted in West Virginia on or after January 1, 2026. The law ensures these specific preventive services are fully covered at no additional cost to patients who meet the medical criteria. It does not alter existing coverage for other medical services.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 12, 2025
Last action Feb 19, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Introduced Version
→
Committee Substitute
·
4 edits
MODERATE
The bill was revised from an Introduced Version to a Committee Substitute version, primarily changing the effective date from January 1, 2025 to January 1, 2026, and reducing the number of new sections added to the code from seven to six. The substantive policy requirements regarding insurance coverage for genetic testing and cancer imaging remain largely the same across the affected articles.
Scope change
The bill now adds six new sections instead of seven, removing the section for §33-16-3pp. The effective date for all coverage requirements was delayed by one year from 2025 to 2026.
TIMELINE
The effective date for the new coverage requirements was changed from January 1, 2025 to January 1, 2026, giving insurers one additional year to prepare for compliance.
SCOPE
The number of new code sections added was reduced from seven to six, removing the addition of §33-16-3pp which covered Group Accident and Sickness Insurance.
TECHNICAL
Minor formatting and structural changes were made to the bill text, including renumbering of sections and removal of some explanatory notes.
REQUIREMENT
The core requirement for insurance coverage of clinical genetic testing and evidence-based cancer imaging remains unchanged, with no cost-sharing allowed for these services.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
6
Key actions
1
Committee
4
Feb 19, 2025
Committee
To Finance
upper
Feb 19, 2025
Upper · Passed
Committee substitute reported, but first to Finance
upper
Feb 12, 2025
Committee
To Health and Human Resources
upper
Feb 12, 2025
Introduced
Introduced in Senate
upper
Feb 12, 2025
Committee
To Health and Human Resources then Finance
upper
1 primary · 1 co-sponsor
Sponsors
Ask Maddy
·
AI policy assistant
Ask Maddy about SB 28
Scope: WV
Hi! I can help you understand SB 28. What would you like to know?
Try one of these
i
Maddy answers using official bill text and legislative records. Always verify before sharing.
Sources cited inline