SB 19 Alabama Senate · 2026 Regular Session

Health care insurance; to eliminate cost-sharing for screening of men who are at high risk for prostate cancer

SB 19 requires Alabama health insurance plans to cover prostate cancer screening with no deductibles or copays for two groups: all men over 50 and men at high risk (defined as African American men or those with a father, brother, or son diagnosed with prostate cancer or related risk factors). It expands existing law, which previously only mandated free screening for men over 50, to include high-risk younger men starting at age 40. The bill applies to all health insurance plans in Alabama and takes effect October 1, 2026. This policy change directly affects insurers (mandating coverage without cost-sharing) and beneficiaries (eliminating out-of-pocket costs for specified screenings).
Bill status signed all 5 stages cleared
Introduction
Sep 2025
Committee Review
Jan 2026
Senate Passage
Jan 2026
House Passage
Feb 2026
Signed into Law
Feb 2026
Introduced Sep 10, 2025 Signed Feb 26, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Enrolled · 5 edits · Feb 26, 2026
MODERATE
The bill evolved from a standard introduction to an enrolled final version, adding a formal title honoring two individuals and reorganizing the text for official publication. The core policy requirements regarding prostate cancer screening coverage for high-risk men and older men remained consistent, though the effective date was moved forward from October 1, 2026, to October 1, 2027. Minor technical updates included expanding the definition of 'Health Benefit Plan' to explicitly exclude limited benefit policies and clarifying that penalties cannot be applied to physicians who order compliant care.
Scope change
The scope of the bill remains focused on requiring health insurance plans to cover prostate cancer screening without cost-sharing for specific high-risk groups and older men, but the effective date was delayed by one year.
TITLE

Added a formal title for the act, the 'David "Mac" McElhaney and Roy S. Johnson Prostate Cancer Prevention Act', to honor specific individuals.

TIMELINE

Changed the effective date of the act from October 1, 2026, to October 1, 2027.

DEFINITION

Expanded the definition of 'Health Benefit Plan' to explicitly list excluded policy types like accident-only or Medicare supplement plans.

ENFORCEMENT

Clarified that health plans cannot penalize physicians who order medical care consistent with the new screening requirements.

TECHNICAL

Reformatted the document structure and numbering to reflect the final enrolled status of the legislation.

Floor votes

How they voted

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

Actions timeline

Total actions
23
Key actions
8
Committee
4
Amendments
5
Feb 19, 2026
Introduced
Concur In House Amendment
upper
Feb 17, 2026
Lower · Passed
Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 456
lower
Feb 17, 2026
Lower · Passed
Motion to Adopt - Adopted Roll Call 455
lower
Feb 17, 2026
Introduced
Givan 1st Amendment Offered
lower
Feb 17, 2026
Lower · Passed
Motion to Adopt - Adopted Roll Call 454
lower
Feb 17, 2026
Introduced
Insurance Engrossed Substitute Offered (Insurance)
lower
Jan 28, 2026
Lower · Passed
Reported Out of Committee Second House (Insurance)
lower
Jan 15, 2026
Lower · Passed
Pending Committee Action in Second House (Insurance)
lower
Jan 15, 2026
Upper · Passed
Motion to Read a Third Time and Pass - Adopted Roll Call 9
upper
Jan 14, 2026
Upper · Passed
Reported Out of Committee House of Origin
upper
Jan 13, 2026
Upper · Passed
Pending Committee Action in House of Origin (Banking and Insurance)
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Steve Livingston
Steve Livingston
RRepublican
AL
8