GA HB420

Health benefit policies renewed or issued on or after July 1, 2025, must cover genetic testing for inherited cancer-related mutations for individuals with personal or family history of cancer, when recommended by a healthcare provider and aligned with nationally recognized clinical practice guidelines

Coverage must also include cancer imaging for individuals with increased cancer risk when recommended by a provider and consistent with clinical practice guidelines

Standard cost-sharing requirements (deductibles, copayments, coinsurance) still apply to these covered services

Provisions protect health savings account (HSA) eligibility by applying coverage requirements only after minimum deductibles are satisfied for high-deductible health plans, except for services qualifying as preventive care under IRS rules

The Insurance Commissioner is directed to promulgate implementing rules in accordance with guidelines from professional medical organizations such as the National Comprehensive Cancer Network