[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8729 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                                H. R. 8729

     To amend title XIX of the Social Security Act to require that 
 diagnostic and supplemental breast examinations are furnished without 
    cost sharing under the Medicaid program, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 11, 2026

 Mr. Landsman (for himself and Mrs. Dingell) introduced the following 
    bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
     To amend title XIX of the Social Security Act to require that 
 diagnostic and supplemental breast examinations are furnished without 
    cost sharing under the Medicaid program, and for other purposes.

    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 ``No-Cost Breast Examinations in 
Medicaid Act of 2026''.

SEC. 2. REQUIRING THAT DIAGNOSTIC AND SUPPLEMENTAL BREAST EXAMINATIONS 
              ARE FURNISHED WITHOUT COST SHARING UNDER THE MEDICAID 
              PROGRAM.

    (a) In General.--
            (1) In general.--Subsections (a)(2) and (b)(2) of section 
        1916 of the Social Security Act (42 U.S.C. 1396o) are each 
        amended--
                    (A) in subparagraph (I), by striking ``or'' at the 
                end;
                    (B) in subparagraph (J), by striking ``; and'' and 
                inserting ``, or''; and
                    (C) by adding at the end the following new 
                subparagraph:
                    ``(K) diagnostic breast examinations and 
                supplemental breast examinations (as such terms are 
                defined in section 1905(ll)); and''.
            (2) 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) Diagnostic breast examinations and 
                        supplemental breast examinations (as such terms 
                        are defined in section 1905(ll)).''.
    (b) Definitions.--Section 1905 of the Social Security Act (42 
U.S.C. 1396d) is amended by adding at the end the following new 
subsection:
    ``(ll) Definitions Relating to Breast Cancer Examinations.--
            ``(1) Diagnostic breast examination.--The term `diagnostic 
        breast examination' means a medically necessary and appropriate 
        (in accordance with National Comprehensive Cancer Network 
        Guidelines) examination of the breast (including, but not 
        limited to such an examination using diagnostic mammography, 
        breast magnetic resonance imaging, or breast ultrasound) that 
        is--
                    ``(A) used to evaluate an abnormality seen or 
                suspected from a screening examination for breast 
                cancer; or
                    ``(B) used to evaluate an abnormality detected by 
                another means of examination.
            ``(2) Supplemental breast examination.--The term 
        `supplemental breast examination' means a medically necessary 
        and appropriate (in accordance with National Comprehensive 
        Cancer Network Guidelines) examination of the breast 
        (including, but not limited to such an examination using breast 
        magnetic resonance imaging or breast ultrasound) that is--
                    ``(A) used to screen for breast cancer when there 
                is no abnormality seen or suspected; and
                    ``(B) furnished based on personal or family medical 
                history or additional factors that may increase the 
                individual's risk of breast cancer.''.
    (c) Inclusion of Screening Mammography as a Mandatory Benefit.--
            (1) In general.--Section 1902(a)(10)(A) of the Social 
        Security Act (42 U.S.C. 1396a(a)(10)(A)) is amended, in the 
        matter preceding clause (i), by inserting ``(13)(D),'' after 
        ``(13)(B),''.
            (2) Medical assistance.--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) screening mammography (as defined in section 
                1861(jj)) assigned a grade of A or B by the United 
                States Preventive Services Task Force;''.
    (d) Effective Date.--The amendments made by this section shall 
apply with respect to medical assistance furnished on or after the date 
that is 1 year after the date of the enactment of this Act.
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