Biomarker testing coverage.
Summary
Requires a health plan (which includes a policy of accident and sickness insurance, a health maintenance organization contract, the Medicaid risk based managed care program, and a state employee health plan) to provide coverage for biomarker testing for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring of an enrollee's disease or condition when biomarker testing is supported by medical and scientific evidence. Requires the office of Medicaid policy and planning to provide biomarker testing as a Medicaid program service, and to apply to the United States Department of Health and Human Services for approval of any waiver necessary under the federal Medicaid program for the purpose of providing biomarker testing. Provides that coverage is not required for biomarker testing for screening purposes. Provides that if a prior authorization requirement applies to biomarker testing, the health plan or a third party acting on behalf of the health plan must: (1) approve or deny a request for prior authorization; and (2) notify the covered individual of the approval or denial; in not more than five business days in the case of a nonurgent request or in not more than 48 hours in the case of an urgent request. Requires the office of the secretary of family and social services to report certain information to the budget committee on Medicaid reimbursement rates provided for biomarker testing.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2024
Committee Review
Feb 2024
Senate Passage
Mar 2024
House Passage
Mar 2024
Signed into Law
Mar 2024
Introduced Jan 11, 2024
Signed Mar 11, 2024
Floor votes · Senate Feb 6, 2024 · House Feb 27, 2024
How they voted
46–1
Passed · 1 other
Total votes 48
Feb 6, 2024
D
Democratic9
100% Yea
R
Republican39
94% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
31
Key actions
10
Committee
5
Mar 11, 2024
Signed into law
Signed by the Governor
executive
Mar 8, 2024
Upper · Passed
Signed by the President of the Senate
upper
Mar 7, 2024
Lower · Passed
Signed by the Speaker
lower
Mar 4, 2024
Upper · Passed
Signed by the President Pro Tempore
upper
Feb 27, 2024
Lower · Passed
Third reading: passed; Roll Call 236: yeas 94, nays 0
lower
Feb 22, 2024
Lower · Passed
Committee report: do pass, adopted
lower
Feb 15, 2024
Lower · Passed
Committee report: do pass, adopted
lower
Feb 15, 2024
Committee
Referred to the Committee on Ways and Means pursuant to House Rule 127
lower
Feb 6, 2024
Upper · Passed
Third reading: passed; Roll Call 142: yeas 47, nays 1
upper
Feb 1, 2024
Upper · Passed
Committee report: amend do pass, adopted
upper
Jan 18, 2024
Upper · Passed
Committee report: amend do pass adopted; reassigned to Committee on Appropriations
upper
4 primary · 10 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Brad Barrett
RRepublican
P
Ed Charbonneau
RRepublican
P
Jean Leising
RRepublican
P
Vaneta Becker
RRepublican
Co
Ed Clere
IIndependent
Co
Eric Bassler
RRepublican
Co
Fady Qaddoura
DDemocratic
Co
Gregory Porter
DDemocratic
Co
J.D. Ford
DDemocratic
Co
Lonnie Randolph
DDemocratic
Co
Matt Lehman
RRepublican
Co
Mike Bohacek
RRepublican
Co
Shelli Yoder
DDemocratic
Co
Sue Glick
RRepublican
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