Rep. Moss files bill in North Carolina House to mandate biomarker testing coverage

A new bill filed by State Rep. Moss seeks to ensure health benefit plans cover biomarker testing and prevent insurers from using genetic information to alter premiums, according to the North Carolina State House.

The bill, filed as HB 567 on March 27 during the 2025 regular session, was formally listed with the short title: ‘Ensure Access to Biomarker Testing.’

The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.

In essence, the bill mandates health benefit plans to cover biomarker testing in North Carolina for diagnosing and managing diseases when supported by scientific evidence, including FDA-approved tests, Medicare determinations, and recognized clinical guidelines. It prohibits insurers from altering premium rates based on genetic or biomarker information and requires timely communication of utilization reviews, particularly for urgent services. The bill also extends coverage to the State Health Plan and requires Medicaid’s Division of Health Benefits to ensure similar coverage and timely authorization processes. Appropriations include $1 million annually from the General Fund for implementing State Health Plan coverage starting July 1, 2025, with sections effective October 1, 2025, and applicable to insurance contracts issued, renewed, or amended on or after that date.

Of the four sponsors of this bill, Grant L. Campbell, MD proposed the most bills (41) during the 2025 regular session.

Bills in North Carolina follow a multi-step process before becoming law. A lawmaker starts by filing a bill, which is assigned to a committee for review. The bill must be read three times in each chamber. If one chamber changes the bill after the other passes it, both must agree on the final version. Once both chambers approve the same bill, it goes to the governor, who has 10 days (or 30 if the legislature is not in session) to sign, veto, or let it become law without a signature.

You can read more about the bills and other measures here.

Moss, a Republican, was elected to the North Carolina State House in 2023 to represent the state’s 52nd House district, replacing previous state representative Jamie Boles.