Lifesaving tests for genes that increase risks of breast cancer still aren’t available to Alabama Medicaid recipients, despite a push by advocates who say the agency should offer the screening available in all other states.
than white ones, despite lower diagnosis rates, studies have found. Breast cancer was the second most diagnosed cancer in the state after lung cancer in 2021, according to the Alabama Department of Public Health.
Heatherly often meets with patients before they have genetic testing and said it can give them more knowledge about how best to approach treatment. The Affordable Care Act increased access to testing and counseling for breast cancer genes for people with family histories of cancer or other risk factors. Medicare, the program for older Americans and those with disabilities, covers testing for some people diagnosed with cancer.
Schlager said state Medicaid programs that cover testing for breast cancer genes tend to also cover additional screening patients need to prevent advanced cancer. Those procedures, which can include mammograms, MRIs and colonoscopies, can be much more expensive than genetic tests.
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