[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9417 Introduced in House (IH)]

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118th CONGRESS
  2d Session
                                H. R. 9417

  To amend titles XVIII and XIX of the Social Security Act and title 
XXVII of the Public Health Service Act to provide no-cost coverage for 
       annual screening mammography beginning at 30 years of age.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            August 27, 2024

 Mr. Lawler (for himself and Mr. Williams of New York) introduced the 
   following bill; which was referred to the Committee on Energy and 
  Commerce, and in addition to the Committee on Ways and Means, for a 
 period to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the 
                          committee concerned

_______________________________________________________________________

                                 A BILL


 
  To amend titles XVIII and XIX of the Social Security Act and title 
XXVII of the Public Health Service Act to provide no-cost coverage for 
       annual screening mammography beginning at 30 years of age.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Early Access to Screening Act''.

SEC. 2. NO-COST COVERAGE OF ANNUAL SCREENING MAMMOGRAPHY BEGINNING AT 
              30 YEARS OF AGE.

    (a) Coverage Under Medicare.--
            (1) In general.--Section 1834(c) of the Social Security Act 
        (42 U.S.C. 1395m(c)) is amended--
                    (A) in paragraph (1)(A), by inserting ``or (3)'' 
                after ``paragraph (2)'';
                    (B) in paragraph (2)--
                            (i) by striking the paragraph heading and 
                        inserting ``Frequency covered before january 1, 
                        2025''; and
                            (ii) in subparagraph (A), by striking 
                        ``Subject'' and inserting ``With respect to 
                        screening mammography performed before January 
                        1, 2025, subject''; and
                    (C) by adding at the end the following new 
                paragraph:
            ``(3) Frequency covered on or after january 1, 2025.--With 
        respect to screening mammography performed on or after January 
        1, 2025--
                    ``(A) no payment may be made under this part for 
                screening mammography performed on a woman under 30 
                years of age; and
                    ``(B) in the case of a woman over 29 years of age, 
                payment may not be made under this part for screening 
                mammography performed within 11 months following the 
                month in which a previous screening mammography was 
                performed.''.
            (2) Prohibition of cost sharing.--Section 1833(a)(1) of the 
        Social Security Act (42 U.S.C. 1395l(a)(1)) is amended--
                    (A) in subparagraph (Y), by inserting after ``in 
                the case of such services described in subparagraph 
                (A)'' the following: ``(other than screening 
                mammography (as defined in section 1861(jj)) performed 
                on or after January 1, 2025)'';
                    (B) in subparagraph (GG), by striking ``and'' at 
                the end; and
                    (C) by inserting before the semicolon at the end 
                the following: ``, and (II) with respect to screening 
                mammography (as defined in section 1861(jj)) performed 
                on or after January 1, 2025, the amounts paid shall be 
                shall be 100 percent of the lesser of the actual charge 
                for the services or the amount determined under the fee 
                schedule that applies to such services under this 
                part''.
            (3) Conforming amendment.--Section 1862(a)(1)(F) is amended 
        by striking ``section 1834(c)(2)'' and inserting ``section 
        1834(c)''.
    (b) Coverage Under Medicaid.--
            (1) Mandatory coverage.--
                    (A) In general.--Section 1902(a)(10)(A) of the 
                Social Security Act (42 U.S.C. 1396a(a)(10)(A)) is 
                amended by inserting ``(13)(D),'' before ``(17),''.
                    (B) Medically needy.--Section 1902(a)(10)(C)(iv) of 
                the Social Security Act (42 U.S.C. 1396a(a)(10)(C)(iv)) 
                is amended by inserting ``(13)(D),'' before ``and 
                (17)''.
                    (C) Alternative benefit plans.--Section 1937(b) of 
                the Social Security Act (42 U.S.C. 1396u-7(b)) is 
                amended by adding at the end the following new 
                paragraph:
            ``(9) Annual screening mammography.--Notwithstanding the 
        previous provisions of this section, a State may not provide 
        for medical assistance through enrollment of an individual with 
        benchmark coverage or benchmark-equivalent coverage under this 
        section unless, beginning on January 1, 2025, for any 
        individual over age 29, such coverage includes (and does not 
        impose any deduction, cost sharing, or similar charge for) 
        annual screening mammography described in section 
        1905(a)(13)(D).''.
            (2) Inclusion under diagnostic, screening, preventive, and 
        rehabilitative services.--Section 1905(a)(13) of the Social 
        Security Act (42 U.S.C. 1396d(a)(13)) is amended--
                    (A) in subparagraph (B), by striking ``and'' at the 
                end;
                    (B) in subparagraph (C), by adding ``and'' at the 
                end; and
                    (C) by adding at the end the following new 
                subparagraph:
                    ``(D) beginning January 1, 2025, for individuals 
                over age 29, annual screening mammography;''.
            (3) Prohibition of cost sharing.--
                    (A) In general.--Section 1916 of the Social 
                Security Act (42 U.S.C. 1396o) is amended--
                            (i) in subsection (a)(2)--
                                    (I) in subparagraph (I), by 
                                striking ``or'' at the end;
                                    (II) in subparagraph (J), by 
                                striking ``; and'' at the end and 
                                inserting ``, or''; and
                                    (III) by adding at the end the 
                                following new subparagraph:
                    ``(K) beginning January 1, 2025, annual screening 
                mammography described in section 1905(a)(13)(D); and''; 
                and
                            (ii) in subsection (b)(2)--
                                    (I) in subparagraph (I), by 
                                striking ``or'' at the end;
                                    (II) in subparagraph (J), by 
                                striking ``; and'' at the end and 
                                inserting ``, or''; and
                                    (III) by adding at the end the 
                                following new subparagraph:
                    ``(K) beginning January 1, 2025, annual screening 
                mammography described in section 1905(a)(13)(D); and''.
                    (B) Application to alternative cost sharing.--
                Section 1916A(b)(3)(B) of the Social Security Act (42 
                U.S.C. 1396o-1(b)(3)(B)) is amended by adding at the 
                end the following new clause:
                            ``(xv) Beginning January 1, 2025, annual 
                        screening mammography described in section 
                        1905(a)(13)(D).''.
    (c) Coverage Under Group Health Plans and Group and Individual 
Health Insurance.--
            (1) In general.--Section 2713(a) of the Public Health 
        Service Act (42 U.S.C. 300gg-13(a)) is amended--
                    (A) in paragraph (2), by striking at the end 
                ``and'';
                    (B) in paragraph (3), by striking at the end the 
                period and inserting ``; and''; and
                    (C) in paragraph (4)--
                            (i) by striking at the end the period and 
                        inserting ``; and'';
                            (ii) by striking ``women, such'' and 
                        inserting ``women--
                    ``(A) such''; and
                            (iii) by adding at the end the following 
                        new subparagraph:
                    ``(B) in the case of a woman over 29 years of age, 
                annual mammography screening.''.
            (2) Effective date.--The amendments made by this subsection 
        shall apply to plan years beginning on or after January 1, 
        2025.
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