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AlabamaSB192026 Regular SessionSenateWALLET

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

Sponsored By: Steve Livingston (Republican)

Enacted

Insurance

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Agricultural health plans gain prostate screening protections

Beginning October 1, 2027, health plans offered by nonprofit agricultural organizations fall under the law's prostate screening protections. Covered plans include individual and group plans issued in Alabama, plus out-of-state plans that handle Alabama residents' health claims. Excluded coverage includes accident-only, specified-disease, hospital indemnity, Medicare supplement, long-term care, disability income, and other limited-benefit policies. Outside the no-cost age and risk groups, covered benefits keep the same cost-sharing rules as other covered benefits. The law does not require plans to add providers beyond those they already cover.

No-cost prostate screening for eligible Alabama men

Beginning October 1, 2027, covered plans cannot charge deductibles, copays, coinsurance, or other out-of-pocket costs for eligible men's prostate screening. Men over 50 qualify, as do high-risk men over 40. Screening includes at least a prostate-specific antigen blood test and a digital rectal exam. High risk includes African American men and men whose father, brother, or son had or died from prostate cancer. It also includes men whose father, brother, or son had a cancer or carries a genetic marker linked to higher prostate cancer risk. These family risk factors count regardless of the relative's age. Private insurers cannot reduce or eliminate coverage because of these rules. Covered plans cannot punish providers for following the law, including ending their services or cutting fixed per-patient payments.

Sponsors & Cosponsors

Sponsor

  • Steve Livingston

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 482 • No: 2

Senate vote • 2/19/2026

Concur In House Amendment

Yes: 22 • No: 0 • Other: 1

House vote • 2/17/2026

Third Reading in Second House

Yes: 101 • No: 0 • Other: 3

House vote • 2/17/2026

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 456

Yes: 98 • No: 0 • Other: 6

House vote • 2/17/2026

Motion to Adopt - Adopted Roll Call 455

Yes: 95 • No: 0 • Other: 7

House vote • 2/17/2026

Motion to Adopt - Adopted Roll Call 454

Yes: 99 • No: 0 • Other: 5

Senate vote • 1/15/2026

Third Reading in House of Origin

Yes: 33 • No: 1 • Other: 1

Senate vote • 1/15/2026

Motion to Read a Third Time and Pass - Adopted Roll Call 9

Yes: 34 • No: 1

Actions Timeline

  1. Enacted

    2/26/2026Senate

  2. Concur In House Amendment

    2/19/2026Senate

  3. Ready to Enroll

    2/19/2026Senate

  4. Enrolled

    2/19/2026Senate

  5. Signature Requested

    2/19/2026House

  6. Delivered to Governor

    2/19/2026Senate

  7. Third Reading in Second House

    2/17/2026House

  8. Insurance Engrossed Substitute Offered

    2/17/2026House

  9. Motion to Adopt - Adopted Roll Call 454

    2/17/2026House

  10. Givan 1st Amendment Offered

    2/17/2026House

  11. Motion to Adopt - Adopted Roll Call 455

    2/17/2026House

  12. Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 456

    2/17/2026House

  13. Read for the Second Time and placed on the Calendar

    1/29/2026House

  14. Reported Out of Committee Second House

    1/28/2026House

  15. Third Reading in House of Origin

    1/15/2026Senate

  16. Motion to Read a Third Time and Pass - Adopted Roll Call 9

    1/15/2026Senate

  17. Read for the first time and referred to the House Committee on Insurance

    1/15/2026House

  18. Pending Committee Action in Second House

    1/15/2026House

  19. Reported Out of Committee House of Origin

    1/14/2026Senate

  20. Read for the Second Time and placed on the Calendar

    1/14/2026Senate

  21. Read for the first time and referred to the Senate Committee on Banking and Insurance

    1/13/2026Senate

  22. Pending Committee Action in House of Origin

    1/13/2026Senate

Bill Text

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