<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="billres.xsl"?>
<!DOCTYPE bill PUBLIC "-//US Congress//DTDs/bill.dtd//EN" "bill.dtd">
<bill bill-stage="Introduced-in-House" dms-id="H74CF57D8770A42EB849984F11C79B716" public-private="public" key="H" bill-type="olc"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>117 HR 238 IH: Katherine’s Lung Cancer Early Detection and Survival Act of 2021</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2021-01-11</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<form>
<distribution-code display="yes">I</distribution-code><congress display="yes">117th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 238</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20210111">January 11, 2021</action-date><action-desc><sponsor name-id="B001296">Mr. Brendan F. Boyle of Pennsylvania</sponsor> (for himself, <cosponsor name-id="D000623">Mr. DeSaulnier</cosponsor>, and <cosponsor name-id="L000579">Mr. Lowenthal</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend title XXVII of the Public Health Service Act to require group health plans and health insurance issuers offering group or individual health insurance coverage to provide benefits for lung cancer screenings for certain individuals without the imposition of cost sharing.</official-title></form><legis-body id="HECE23850FC984CD7AE726C89F4E447A0" style="OLC"><section id="HAB3EA4356C76407297C80E8A123CFA55" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Katherine’s Lung Cancer Early Detection and Survival Act of 2021</short-title></quote>.</text></section><section id="HF4F63AF3D00B43DFA7FDC04EAD4CFFED"><enum>2.</enum><header>Findings</header><text display-inline="no-display-inline">Congress finds the following:</text><paragraph id="H124A3D76301A4DC4975BE1F9DCF16E3D"><enum>(1)</enum><text>Lung cancer is the number 1 killer of all cancers.</text></paragraph><paragraph id="HC0E59F496FBC4932AD5261B9D2EB758B"><enum>(2)</enum><text>Lung cancer causes more deaths than prostate cancer, breast cancer, and colorectal cancer combined.</text></paragraph><paragraph id="H3301C29D24B9468693DA5C9ABD06E701"><enum>(3)</enum><text display-inline="yes-display-inline">The reason for the extremely low 5-year survival rate in lung cancer patients is the difficulty to find it at early stages (as patients have no symptoms at early stages).</text></paragraph><paragraph id="H008A0A04345E4B748C9813569B723F87"><enum>(4)</enum><text display-inline="yes-display-inline">For all stages of lung cancer, the overall 5-year survival rate is 19 percent, while such rate is 98 percent for prostate cancer and 90 percent for breast cancer (all stages).</text></paragraph><paragraph id="H9FB369080E9C40669AE20A9E62FC1725"><enum>(5)</enum><text display-inline="yes-display-inline">Early detection of lung cancer through screening could dramatically increase survival rates for patients.</text></paragraph><paragraph id="H27F58ED94B5A4F3085FF83CD3D96D39F"><enum>(6)</enum><text display-inline="yes-display-inline">Current law mandates free screening for breast cancer, prostate cancer, and colorectal cancer at much earlier ages than for lung cancer, regardless of preexisting conditions of the individual to be screened.</text></paragraph><paragraph id="H4B6352B005EC49AB92A993652E6F3C56"><enum>(7)</enum><text display-inline="yes-display-inline">Free screening starts at age 40 for breast cancer but for lung cancer does not start until age 55, and then and only for those with a history of smoking thirty or more packs of cigarettes per year.</text></paragraph><paragraph id="H1ED040DA9AF14C3B92F2D1B4AE680BD3"><enum>(8)</enum><text display-inline="yes-display-inline">This Act would save lives and money through early detection of lung cancer by starting free screening at age 40.</text></paragraph></section><section id="HD625DDB824054F229C06EE0998D6F9A7"><enum>3.</enum><header>Requiring coverage of lung cancer screenings for certain individuals without cost sharing</header><subsection id="H0400B3FA464C4987B0821032C4188BA2"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 2713(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-13">42 U.S.C. 300gg–13(a)</external-xref>) is amended—</text><paragraph id="H11EF4A3279D0453F88DF845071E0D3AC"><enum>(1)</enum><text>in paragraph (2), by striking <quote>and</quote> at the end;</text></paragraph><paragraph id="H7AF776051C0E4D40A2575611A98CA568"><enum>(2)</enum><text>in paragraph (3), by striking the period at the end and inserting a semicolon;</text></paragraph><paragraph id="H90390FCB3EAE4F7EB7C58FF533C9B069"><enum>(3)</enum><text>in paragraph (4), by striking the period at the end and inserting <quote>; and</quote>;</text></paragraph><paragraph id="HCDBC51FE42344837AEA0AA4B8B880651"><enum>(4)</enum><text>by redesignating paragraph (5) as paragraph (6); and</text></paragraph><paragraph id="HAA07E28B60564CA7AE4736BA41BDCDB5"><enum>(5)</enum><text>by inserting after paragraph (4) the following new paragraph:</text><quoted-block style="OLC" id="H959FEE31C8F549CD924DB7BC7255AA03" display-inline="no-display-inline"><paragraph id="H33B6B4F3BC0E4D2888894FF69296DB9C"><enum>(5)</enum><text display-inline="yes-display-inline">with respect to individuals 40 years of age or older, lung cancer screenings, regardless of the smoking history (if any) of such an individual.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="H8A889627A76F42A7B50542656E25EBB3"><enum>(b)</enum><header>Effective date</header><text display-inline="yes-display-inline">The amendments made by subsection (a) shall apply with respect to plan years beginning on or after January 1, 2022.</text></subsection></section></legis-body></bill> 

