Access to Biomarker Testing

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Biomarker testing is key to unlocking precision medicine.

Biomarkers are often used to help determine the best treatment for a patient, but not all communities are benefitting from the latest advancements in biomarker testing and precision medicine.


Progress in improving cancer outcomes increasingly involves the use of precision medicine. Biomarker testing is an important step for accessing precision medicine including targeted therapies that can lead to improved survivorship and better quality of life for cancer patients. But without action to expand coverage of and access to biomarker testing, advances in precision medicine could increase existing disparities in cancer outcomes by race, ethnicity, income, and geography.

ACS CAN is working to expand insurance coverage of comprehensive biomarker testing. 

biomarker legislation map as of may 2026

 

Legislation enacted: AZ, AR*, CA, CO*, CT, FL**, GA, IL, IN, IA, KY, LA*, MD, MN, MS, NE^, NJ, NM, NY, OK, PA, RI, TN**, TX 

Legislation introduced in 2026: DE, HI, MA, ME, NH, NC, OH, VT, WA 

* Private plans only **Public plans only ^Nebraska law applies to a limited list
of diseases and conditions

Effective dates vary.
Last updated May 2026.

 

Biomarker testing helps ensure cancer patients get the right treatment at the right time.

It allows doctors to precisely target a specific cancer so patients may not have to undergo more generalized treatments like chemo and radiation that may not work as well for them.

Patient and Provider Stories

Heather

Heather’s Story

Pete

Pete’s Story

Ruth

Ruth’s Story

Carla

Carla’s Story

 

Latest Updates

May 27, 2026
New York

After months of debate, state lawmakers have finalized New York’s state budget, opting to preserve access to biomarker testing for Medicaid enrollees. The adopted budget changed language in the historic biomarker testing law, initially passed in 2023, to clarify biomarker testing is covered when it is medically necessary. The law will retain the most important criteria used for determining when testing is to be covered, drawing praise from cancer survivors and patient advocates.

May 22, 2026
Illinois

Cancer Advocates Applaud the State Legislature's Passage of Biomarker Testing Legislation, Ensuring Illinoisans Have Better Access to Personalized Care.

May 18, 2026

Late Friday, the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) released a final rule on the Patient Protection and Affordable Care Act HHS Notice of Benefit and Payment Parameters (NBPP) for plan year 2027. In March, the American Cancer Society Cancer

May 12, 2026
Ohio

Cancer Advocates Gathered at the Statehouse Today to Say Ohio Can and Must Do Better to Reduce the Burden of Cancer

Access to Biomarker Testing Resources

Biomarker testing is key to unlocking precision medicine. However, coverage for guideline-recommended biomarker tests is not universal and can be a barrier to cancer patients accessing treatments that can lead to improved survival and quality of life.  

Cancer biomarker testing can lead to targeted therapy which can improve survival and quality of life by connecting patients to the most beneficial treatment for their disease.

Pharmacogenomic (PGx) testing is a component of precision medicine that involves examining a patient’s inherited genes to detect variations that may impact the way a drug is broken down, absorbed and used within the body.