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HB 420GEORGIASession 2025_26State Billdead
Did Not Advance

Georgia House Bill 420 requires certain health benefit policies to cover genetic testing for inherited cancer mutations and cancer imaging

Original title: Insurance; require certain health benefit policies to cover genetic testing for an inherited mutation and cancer imaging under certain conditions

Last action · April 4, 2025: House Withdrawn, RecommittedSponsors: Darlene Taylor and 5 others

Bill progressHistory & official text ↓
Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

What This Bill Proposed

Georgia health benefit policies issued or renewed on or after July 1, 2025, must cover genetic testing for inherited cancer mutations and for individuals meeting specific clinical criteria, subject to policy s.

Why it matters

Insured residents with a personal or family history of cancer or an increased risk of the disease gain guaranteed health plan coverage for specialized genetic testing and imaging when recommended by a healthcare provider.

Background
  • House Bill 420 is a state legislative measure introduced in Georgia during the 2025-2026 legislative session to regulate health insurance coverage mandates. context

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Covered persons under health benefit policies

Health benefit policies must include coverage for genetic testing for inherited mutations and cancer imaging when recommended by a healthcare provider and meeting clinical guidelines.

Directly affected

Health benefit policy issuers

Issuers must provide coverage for genetic testing and cancer imaging in policies issued or renewed on or after July 1, 2025.

Directly affected

Healthcare providers

Providers must recommend genetic testing and cancer imaging in accordance with nationally recognized clinical practice guidelines for coverage to apply.

Key Facts

  • Health benefit policies issued, delivered, executed, or renewed in Georgia on or after July 1, 2025, must cover genetic testing for inherited mutations for covered persons with a personal or family history of cancer.
  • Such policies must also cover cancer imaging for covered persons with an increased risk of cancer when recommended by a healthcare provider.
  • Covered genetic testing and cancer imaging must be recommended by a healthcare provider and align with nationally recognized clinical practice guidelines.
  • The required coverage is subject to the cost-sharing requirements of the covered person's health benefit policy.
Show all 6 facts
  • Provisions are structured to protect health savings account eligibility under Section 223 of the Internal Revenue Code as it existed on January 1, 2025.
  • The Insurance Commissioner is directed to promulgate rules and regulations to implement the section in accordance with guidelines from professional medical organizations like the National Comprehensive Cancer Network.

Frequently Asked Questions

Who is eligible for covered genetic testing under this measure?
Covered persons with a personal or family history of cancer are eligible when testing is recommended by a healthcare provider and accords with nationally recognized clinical practice guidelines.

What else do you want to know?

News Coverage

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Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

7 actions
  1. Apr 4, 2025House
    House Withdrawn, Recommitted
  2. Feb 26, 2025HouseCommittee
    House Committee Favorably Reported By Substitute
  3. Feb 24, 2025House
    House Withdrawn, Recommitted
  4. Feb 20, 2025HouseCommittee
    House Committee Favorably Reported By Substitute
  5. Feb 18, 2025House
    House Second Readers
  6. Feb 13, 2025HouseIntroduced
    House First Readers
Show 1 earlier action
  1. Feb 12, 2025HouseIntroduced
    House Hopper

Version history & redline

3 versions on file
Comparing LC 52 0756S/hs → LC 52 0769S/hs
removed addedOfficial text
25 LC 52 removed: 0756S added: 0769S The House Committee on Insurance offers the following substitute to HB 420: A BILL TO BE ENTITLED AN ACT To amend Article 1 of […] require certain health benefit policies to cover genetic testing for an inherited mutation and cancer imaging under certain conditions; to provide for definitions; to removed: exclude such coverage from any added: provide for cost-sharing requirements; to protect the eligibility of health savings accounts; to provide for rules and regulations; to provide for related matters; to repeal conflicting […] provider and is in accordance with nationally recognized clinical practice guidelines. (c) The coverage provided for in subsection (b) of this Code section shall removed: not be subject to any cost-sharing requirement of a covered person's health benefit removed: policy and shall not diminish or limit any other benefits provided under such policy. (d) If application of the provisions of this Code section would result in health savings account ineligibility under 26 U.S.C. Section 223 as […]
Redline computed from the official version text (record lane).View this version →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Darlene TaylorHouse · District 173RepublicanPrimary sponsor
Lee HawkinsHouse · District 27RepublicanCosponsor
Katie DempseyHouse · District 13RepublicanCosponsor
Karen MathiakHouse · District 82RepublicanCosponsor
Patty Marie StinsonHouse · District 150DemocraticCosponsor
Show 1 more sponsor
Angie O'SteenHouse · District 169RepublicanCosponsor

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Mandated Insurance Coverage for Genetic Cancer Screening

The bill shifts state insurance requirements by explicitly mandating coverage for germline multi-gene testing and cancer imaging based on clinical practice guidelines.

National Comprehensive Cancer Network

Connected Entities

National Comprehensive Cancer Network, Employee Retirement Income Security Act of 1974, Internal Revenue Code
OrganizationNational Comprehensive Cancer Network“Professional medical organization whose guidelines the Commissioner uses to prom”Map →
otherEmployee Retirement Income Security Act of 1974“Federal law referenced regarding exclusive jurisdiction over certain self-insure”Map →
otherInternal Revenue Code“Federal tax code referenced regarding health savings account eligibility.”Map →

Sources

Open source document

www.legis.ga.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 65)
  • Controversy30
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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