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<dc:title>117 S1966 IS: Katherine’s Lung Cancer Early Detection and Survival Act of 2021</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2021-06-08</dc:date>
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<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>
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<distribution-code display="yes">II</distribution-code><congress>117th CONGRESS</congress><session>1st Session</session><legis-num>S. 1966</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20210608">June 8, 2021</action-date><action-desc><sponsor name-id="S394">Ms. Smith</sponsor> introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSHR00">Committee on Health, Education, Labor, and Pensions</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To amend title XXVII of the Public Health Service Act to expand the availability of coverage for lung cancer screenings without the imposition of cost sharing.</official-title></form><legis-body style="OLC" display-enacting-clause="yes-display-enacting-clause" id="H7736ECE7508045E8828105F6BA10B6EA"><section section-type="section-one" id="H29E50508F6A14AECB9A0C8C524E6CF3C"><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="HCBA4CEFF2C454DB38A4A73E86DF887FF"><enum>2.</enum><header>Findings</header><text display-inline="no-display-inline">Congress finds the following:</text><paragraph id="H82BF43A01C6A42D8B27C89EAE41FD980"><enum>(1)</enum><text>Lung cancer is the number 1 killer of all cancers.</text></paragraph><paragraph id="HF6C1F37CDCE94ACCBAF4B62571961777"><enum>(2)</enum><text>Lung cancer causes more deaths than prostate cancer, breast cancer, and colorectal cancer combined.</text></paragraph><paragraph id="HA129CE39978041CF8EFD8FCA36E779C1"><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="HB720C997C5BC4013A47E97CB00B55720"><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.</text></paragraph><paragraph id="HCD757F6BC3FD4EFC85B41E19BEDC8BCB"><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></section><section id="H8664BD5AAD0B4D2288D08238B9CE6CBB"><enum>3.</enum><header>Requiring coverage of lung cancer screenings for certain individuals without cost sharing</header><subsection id="HBC8A1A0A3BD048818DD94BE101CE444E"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 2713 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-13">42 U.S.C. 300gg–13</external-xref>) is amended—</text><paragraph id="H405D2CCA08E54BB9A80425DD04D644BD"><enum>(1)</enum><text>in subsection (a)—</text><subparagraph id="idF33CC57696DC4C139E0C6BFC72565370"><enum>(A)</enum><text>in paragraph (2), by striking <quote>and</quote> at the end;</text></subparagraph><subparagraph id="HD85410C0221B43D1BF59D95325820C08"><enum>(B)</enum><text>in paragraph (3), by striking the period at the end and inserting a semicolon;</text></subparagraph><subparagraph id="H3BF47676971C4EB79AEA3CBFAF60A64A"><enum>(C)</enum><text>in paragraph (4), by striking the period at the end and inserting <quote>; and</quote>;</text></subparagraph><subparagraph id="H89EE9781073D4D1CB1FB4D0527EB2FEA"><enum>(D)</enum><text>by redesignating paragraph (5) as paragraph (6); and</text></subparagraph><subparagraph id="H1FD42DA6F0B943EFB1DA2D3A3A62D6C6"><enum>(E)</enum><text>by inserting after paragraph (4) the following new paragraph:</text><quoted-block style="OLC" display-inline="no-display-inline" id="HFD790165DB5B4D1B8AC4AB63ECDF298C"><paragraph id="H497CF2C0EC6F452F8791C154734248A1"><enum>(5)</enum><text display-inline="yes-display-inline">lung cancer screenings, with respect to any individual who has a very high risk of lung cancer due to genetic, occupational, or other exposures and who has a referral from a specialist, such as a pulmonary medicine physician, who can explain the benefits and harms of the screening to the individual, including determination of lung cancer risk; and</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="id0EE1BEB651D34280BC181039CB92A227"><enum>(2)</enum><text>by adding at the end the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id1091E0F8E5A043279EC174C0B48AA056"><subsection id="id86E97119458C4D79AC95166C8FACC057"><enum>(d)</enum><header>Special rule for certain lung cancer screenings</header><text>In the case of a lung cancer screening that would be a service described in subsection (a)(1) but for the fact that the individual receiving the screening stopped smoking more than 15 years prior to the date of the screening or is 80 years of age or older as of such date, such screening shall be deemed to be a service described in such subsection.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="HB14EC3875C0E4EAA8443A2F3C1A83300"><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> 

