relative to insurance coverage for biomarker testing.
SB 120 requires health insurers and Medicaid to cover biomarker testing when it has "clinical utility" - meaning the test results directly inform treatment decisions for a patient's condition. The bill specifies that coverage must be based on accepted medical evidence, such as FDA-approved test indications, CMS guidelines, or nationally recognized clinical practice guidelines. It also mandates that prior authorization requests for such testing be resolved within 72 hours for urgent cases and 14 days for non-urgent cases. This bill directly affects patients seeking biomarker tests, insurers, and healthcare providers by standardizing coverage criteria and processing timelines.
Bill status
failed
3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
Senate Passage
Mar 2025
House Passage
Governor
Introduced Jan 22, 2025
Last action Nov 3, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
9
Key actions
3
Committee
3
Mar 6, 2025
Upper · Passed
Ought to Pass with Amendment #2025-0554s, MA, VV; 03/06/2025; SJ 6
upper
Mar 6, 2025
Upper · Passed
Committee Amendment # 2025-0554s, AA, VV; 03/06/2025; SJ 6
upper
Feb 24, 2025
Upper · Passed
Committee Report: Ought to Pass with Amendment # 2025-0554s, 03/06/2025; Vote 5-0; CC; SC 11
upper
Jan 22, 2025
Introduced
Introduced 01/09/2025 and Referred to Health and Human Services; SJ 3
upper
1 primary · 4 co-sponsors
Sponsors
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