House Bill 373 (COMMITTEE SUBSTITUTE)
By: Representatives Glaize of the 67th, Newton of the 127th, Cooper of the 45th, Mitchell of
the 88th, Paris of the 142nd, and others
A BILL TO BE ENTITLED
AN ACT
To amend Article 1 of Chapter 24 of Title 33 of the Official Code of Georgia Annotated,
relating to general provisions regarding insurance, so as to require major medical coverage
for annual prostate cancer screenings for certain men; to provide for definitions; to provide
for related matters; to provide for an effective date and applicability; to repeal conflicting
laws; and for other purposes.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:
SECTION 1.
Article 1 of Chapter 24 of Title 33 of the Official Code of Georgia Annotated, relating to
general provisions regarding insurance, is amended by adding a new Code section to read as
follows:
<ins>"33-24-59.34.
(a) As used in this Code section, the term:
(1) 'Health benefit policy' means any individual or group plan, policy, or contract for
healthcare services issued, delivered, issued for delivery, or renewed in this state which
provides major medical benefits by a healthcare corporation, health maintenance
organization, preferred provider organization, accident and sickness insurer, fraternal
</ins>
<ins>benefit society, hospital service corporation, medical service corporation, or other insurer
or similar entity.
(2) 'Men with a family history of prostate cancer' means men who have a first-degree
relative:
(A) Who has been diagnosed with prostate cancer;
(B) Who developed prostate cancer;
(C) Whose death was a result of prostate cancer;
(D) Who has been diagnosed with a cancer known to be associated with an increased
risk of prostate cancer; or
(E) Who has a genetic alteration known to be associated with an increased risk of
prostate cancer.
(3) 'Men with a high risk for prostate cancer' means:
(A) Men with a family history of prostate cancer who are 40 to 49 years of age;
(B) Men who are 50 years of age and older; and
(C) Other men, as may be determined by a physician.
(b) A health benefit policy shall provide coverage for annual prostate cancer screenings
for men with a high risk for prostate cancer. Such coverage shall include a digital rectal
examination and a prostate-specific antigen test."
</ins> SECTION 2.
This Act shall become effective upon its approval by the Governor or upon its becoming law
without such approval and shall apply to all applicable insurance policies issued, delivered,
issued for delivery, or renewed on or after January 1, 2026.
SECTION 3.
All laws and parts of laws in conflict with this Act are repealed.