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HB 2964ARIZONASession 57th-2nd-regularState Billdead

Did Not Advance

Arizona Bill HB 2964 Mandates Insurance Coverage and Primary Care Screening for Cancer Genetic Testing

Original title: cancer screening; coverage; gene mutation

Last action · February 5, 2026: House Second ReadingSponsors: Betty Villegas and 17 others

Bill progressHistory & official text ↓

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What This Bill Proposed

HB 2964 requires health insurers, health care services organizations, and the state Medicaid program to provide zero-cost-sharing coverage for cancer genetic testing, genetic counseling, and starting January 1, 2027. The bill also mandates that primary care providers screen adult patients for personal or family cancer history and ancestry risks to determine the need for genetic counseling or testing.

Why it matters

Insured residents and state health plan members gain guaranteed access to cancer genetic counseling and mutation testing without deductibles or copays, while primary care providers must systematically assess adult patients for hereditary cancer risks starting in 2027.

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

Health insurance subscribers and enrollees

Subscribers and enrollees receive guaranteed zero-cost-sharing insurance coverage for medically necessary cancer genetic testing and counseling starting January 1, 2027.

Directly affected

Primary care providers

Primary care providers must actively screen adult patients for personal and family cancer histories and administer or refer patients for genetic risk assessments and counseling.

Directly affected

Insurers and health care services organizations

Insurers must update their subscription contracts and policies to cover genetic testing and counseling services without deductibles or cost-sharing.

Directly affected

AHCCCS members

Medicaid members are entitled to screening, genetic counseling, and testing for harmful inherited genetic mutations when clinically indicated.

Key Facts

Hospital service corporations, medical service corporations, health care services organizations, disability insurers, and group/blanket disability insurers issuing or renewing contracts on or after January 1, 2027, must cover cancer genetic counseling, genetic testing, and germline mutation testing based on National Comprehensive Cancer Network guidelines.
Required insurance coverage for cancer genetic testing and counseling is explicitly exempt from deductibles, coinsurance, and any other cost-sharing requirements.
Insurers must make required genetic testing and counseling benefits available through health care providers who belong to the insurer's provider network.
Primary care providers must attempt to determine whether each adult patient has a personal or family history of specific cancers (including melanoma, breast, ovarian, colorectal, and prostate cancer) or ancestry associated with BRCA or Lynch syndrome mutations.

Show all 7 facts

If an adult patient meets screening criteria and has not previously tested positive for a mutation, primary care providers must use a familial risk assessment tool and provide or refer for genetic counseling and testing if clinically indicated.
The Arizona Health Care Cost Containment System (AHCCCS) administration and its contractors must provide screening, genetic counseling, and testing for harmful inherited mutations in BRCA and other cancer-risk genes for members when indicated.
The act may be cited as the 'Donna Hicks and Clarissa Amparano Act'.

Frequently Asked Questions

What is required of my primary care doctor under this legislation?

Primary care providers must attempt to screen adult patients for personal or family histories of specific cancers or hereditary risk factors, use a familial risk assessment tool when appropriate, and provide or refer patients for genetic counseling and testing if indicated.

What else do you want to know?

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Where This Stands

This bill did not become law - Died at adjournment · on the House floor.

Procedural history

2 actions

Feb 5, 2026HouseFloor
House Second Reading
Feb 4, 2026HouseIntroduced
House First Reading

Version history

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