Bill > HR1300

This bill seeks to amend the Public Health Service Act to require group health plans and health insurance issuers to provide coverage for prostate cancer screenings without cost-sharing for men aged 40 and over who are at high risk of developing prostate cancer. Specifically, the bill defines high-risk men as African-American men and men with a family history of prostate cancer, which includes those with a first-degree relative diagnosed with, who developed, or died from prostate cancer, or who have been diagnosed with associated cancers or genetic alterations. The bill highlights the significant impact of prostate cancer, noting it is the second leading cause of cancer death in men, with 1 in 8 men diagnosed in their lifetime and a dramatic difference in survival rates between early and late-stage detection (nearly 100% versus 37%). The legislation aims to minimize barriers to screening, particularly for high-risk populations, by ensuring that health insurance plans cover prostate-specific antigen (PSA) screenings without additional out-of-pocket costs. The amendments will apply to health insurance plan years beginning on or after January 1, 2026, and do not prevent plans from providing additional coverage beyond the recommended screenings.

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https://www.congress.gov/bill/119th-congress/house-bill/1300/all-info