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Payers & Policymakers
Coverage is the start, not the finish line.
State laws now require coverage of biomarker testing in half the country. The next step is making sure covered testing reaches patients in time.
State coverage
25 states have passed coverage laws.
These states have enacted laws requiring health plans to cover biomarker testing. Details vary, including which plans the law applies to.
- Arizona
- Arkansas (private plans only)
- California
- Colorado (private plans only)
- Connecticut
- Delaware
- Florida (public plans only)
- Georgia
- Illinois
- Indiana
- Iowa
- Kentucky
- Louisiana (private plans only)
- Maryland
- Minnesota
- Mississippi
- Nebraska (limited list of conditions)
- New Jersey
- New Mexico
- New York
- Oklahoma
- Pennsylvania
- Rhode Island
- Tennessee (public plans only)
- Texas
Source: American Cancer Society Cancer Action Network, updated September 8, 2026. Laws change; check the source for the latest. A state law may not apply to every plan, such as self-funded employer plans regulated by federal law.
Coverage is the start
A coverage law makes testing payable. It doesn’t make sure the test is ordered, the sample is usable, or the results arrive before treatment. Payers and policymakers can help close the rest of the gap.
What helps
- Cover testing that matches current clinical guidelines, including comprehensive panels and blood-based tests.
- Make prior authorization fast or unnecessary for guideline-recommended testing, so it doesn’t delay treatment.
- Cover repeat testing when cancer progresses or the first sample can’t be read.
- Hold implementation to account: measure whether testing actually reaches patients after a law passes.
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25 states have passed biomarker testing coverage laws. Coverage is the start, not the finish line: the next step is making sure every patient is tested before treatment. biomarkertestingawarenessmonth.org/policy/ #BiomarkerTestingAwarenessMonth #TestBeforeTreatment
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