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Equal Costs for Breast Cancer Diagnostic and Screening Exams

New rules aim to standardize costs and treatment limits for both diagnostic and screening breast cancer examinations. This means insurers cannot impose higher fees or stricter limits on diagnostic tests, which are often needed after an initial screening. As a result, citizens can avoid unexpected, higher costs associated with further diagnosis.
Key points
Health insurers must treat diagnostic breast cancer exams the same as screening exams regarding costs and treatment limits.
Insurers are prohibited from increasing screening exam costs solely to comply with these new requirements.
The law does not mandate replacing screening exams with diagnostic ones, nor does it prevent insurers from requiring prior authorization for tests.
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Status:
Expired
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Additional Information
Access to Breast Cancer Diagnosis Act of 2021
Print number: HR 5769
Sponsor: Rep. Dingell, Debbie [D-MI-12]
Process start date: 2021-10-28
System Note: Lustra is free, publicly auditable civic infrastructure, with full source code available on GitHub. You are reading sterilized legislative data, processed by our radical neutrality engine to strip political spin and retain factual mechanics. We process only official government data. Original documents remain the authoritative source, always verify them if you can.
Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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Summary & Status

Key Questions about Equal Costs for Breast Cancer Diagnostic and Screening Exams

A structured overview of the legislative process, official sources, status and civic context.

What is the official ID of this bill?

The official print number for this legislation is HR 5769.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2021-10-28.

What are the main provisions?

Key points include:

  • Health insurers must treat diagnostic breast cancer exams the same as screening exams regarding costs and treatment limits.
  • Insurers are prohibited from increasing screening exam costs solely to comply with these new requirements.
  • The law does not mandate replacing screening exams with diagnostic ones, nor does it prevent insurers from requiring prior authorization for tests.

What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Dingell, Debbie [D-MI-12].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-28.

Analysis and Potential Impact of HR 5769

We don't know, that is up to you to decide. Summarizing raw data with AI is fundamentally different from predicting socio-economic outcomes. As of 2026, we believe impact assessment strictly requires a human in the loop to verify and judge. Review our public AI processing logs for full transparency, and use Lustra to track active legislation for instant status push notifications.

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Health