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Access to Breast Cancer Diagnosis: No Cost-Sharing

This new bill aims to eliminate out-of-pocket costs like deductibles and co-pays for diagnostic and supplemental breast examinations. This means health insurance plans will be required to cover these tests fully, making early breast cancer detection more accessible and reducing financial burdens for patients. These changes will take effect from January 1, 2024.
Key points
No out-of-pocket costs for diagnostic and supplemental breast exams (mammography, MRI, ultrasound).
Health insurance plans must cover 100% of these test costs, without deductibles or co-pays.
Changes also apply to high-deductible health plans, allowing earlier tests without meeting the deductible.
The bill does not prohibit requiring prior authorization for tests, but it cannot involve additional costs.
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Additional Information
Access to Breast Cancer Diagnosis Act of 2023
Print number: HR 3851
Sponsor: Rep. Dingell, Debbie [D-MI-6]
Process start date: 2023-06-06