Bill > HR6314

This bill requires all health insurance providers, including group health plans, individual health insurers, and federal health programs, to provide full coverage for annual lung cancer screenings for adults aged 50 to 80 who are at increased risk for lung cancer. The screenings, which would typically involve a low-dose computed tomography (LDCT) scan, must be provided without any cost-sharing and cannot be subject to prior authorization, step-therapy, frequency limits more restrictive than one screening per year, or additional documentation requirements beyond current clinical guidelines. Eligibility is determined by a healthcare professional based on personal, environmental, or familial risk factors. The bill mandates that the Secretaries of Health and Human Services, Defense, and Veterans Affairs, along with the Director of the Office of Personnel Management, must issue implementing regulations within 180 days of enactment and ensure compliance across their respective programs. The goal of this legislation is to improve early detection of lung cancer among high-risk populations by removing financial and administrative barriers to screening.

Business and Industry, Health and Social Services

https://www.congress.gov/bill/119th-congress/house-bill/6314/all-info