HB 1211: Insurance; guidelines and recommendations for colorectal cancer screening, examinations, and laboratory tests; provide
Last action March 31, 2026 · Senate Tabled
A Georgia House bill would let health insurance policies base required colorectal cancer screening coverage on a wider list of medical guidelines, not just those from the American Cancer Society.
The summaries below were written by an AI model (claude-sonnet-5) from the text of the bill and are not part of it. Quote the text, not the summary. The stored text is the Introduced version, the latest LegiScan holds.
In plain language
Georgia law already requires health benefit policies to cover colorectal cancer screening, exams, and lab tests based on guidelines from the American Cancer Society, working with the American College of Gastroenterology and the American College of Radiology. This bill expands that list of approved sources. Under the change, insurers could also follow guidelines from the National Comprehensive Cancer Network, the United States Preventive Task Force, or a national coverage determination from the federal Centers for Medicare and Medicaid Services. The ages, family history factors, and frequency of screening covered would still depend on what the guidelines recommend and what the patient's attending physician decides is appropriate after talking with the patient. The bill repeals any conflicting laws and does not list a delayed effective date in the text shown.
What the bill does
- Adds the National Comprehensive Cancer Network, the United States Preventive Task Force, and CMS national coverage determinations as approved sources of screening guidelines for insurance coverage purposes.
- Keeps the existing requirement that Georgia health benefit policies cover colorectal cancer screening, exams, and lab tests.
- Leaves in place the rule that the attending physician, after conferring with the patient, decides what screening is appropriate based on age, family history, and frequency.
- Repeals any existing laws that conflict with this expanded list of guideline sources.
Who it affects
Georgians covered by health benefit policies in the state, insurance companies that write those policies, and physicians who order colorectal cancer screening, since the bill changes which medical guidelines can determine what screening insurers must cover.
Why it matters
By recognizing more sets of medical guidelines, insurers and doctors would have more flexibility in deciding which colorectal cancer screening tests, ages, and frequencies must be covered, potentially affecting which tests patients can get covered without extra out-of-pocket cost.
Key provisions
- Section 1 revises subsection (b) of O.C.G.A. § 33-24-56.3 to add the National Comprehensive Cancer Network, the United States Preventive Task Force, and CMS national coverage determinations to the list of guideline sources insurers must follow.
- Section 1 keeps the existing American Cancer Society, American College of Gastroenterology, and American College of Radiology guidelines as valid sources.
- Section 1 preserves the requirement that coverage details (ages, family history, frequency) follow what the attending physician deems appropriate after conferring with the patient.
- Section 2 repeals any conflicting laws, a standard provision with no substantive effect beyond this bill's own changes.
From the bill
“Every health benefit policy shall provide coverage for colorectal cancer screening, examinations, and laboratory tests in accordance with guidelines and recommendations established by any of the following:”
“deemed appropriate by the attending physician after conferring with the patient."”
Status timeline
- Senate Tabled (Senate)
- Senate Read Second Time (Senate)
- Senate Committee Favorably Reported (Senate)
- Senate Read and Referred (Senate)
- House Passed/Adopted (House)
- House Third Readers (House)
- House Committee Favorably Reported (House)
- House Second Readers (House)
Show full history (10 actions)
- House First Readers (House)
- House Hopper (House)
Sponsors
- Trey Kelley (R, HD-016)
- Lee Hawkins (R, HD-027)
- Mark Newton (R, HD-127)
- Joseph Gullett (R, HD-019)
- Matthew Gambill (R, HD-015)
- Demetrius Douglas (D, HD-078)
- Ben Watson (R, SD-001)
Votes
- House voteMarch 4, 2026
165 yea, 0 nay (2 not voting, 10 absent)
- Senate voteMarch 31, 2026
39 yea, 10 nay (2 not voting, 3 absent)
Topics
- health insurance coverage
- colorectal cancer screening
- cancer screening guidelines
- preventive health care