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Eliminating Out-of-Pocket Costs for Diagnostic and Supplemental Breast Exams.

This law prohibits health insurance plans from charging patients any out-of-pocket costs, such as deductibles or copayments, for medically necessary diagnostic and supplemental breast examinations. This change removes financial barriers for individuals needing crucial follow-up tests like diagnostic mammograms, MRIs, or ultrasounds after a screening or due to high-risk factors. The provisions take effect for plan years starting on or after January 1, 2024.
Key points
Zero Cost-Sharing: Insurance plans must cover diagnostic and supplemental breast exams without imposing deductibles, copayments, or coinsurance.
Covered Exams: This includes diagnostic mammography, breast MRI, and ultrasound used to evaluate abnormalities or screen high-risk individuals.
High Deductible Plans (HDHPs): HDHPs can cover these exams without a deductible while maintaining eligibility for Health Savings Accounts (HSAs).
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Additional Information
Print number: 118_S_2464
Sponsor: Sen. Shaheen, Jeanne [D-NH]
Process start date: 2023-07-25
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Summarized by: gemini-2.5-flash-preview-09-2025
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Access to Breast Cancer Diagnosis Act of 2023

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_S_2464.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2023-07-25.

What are the main provisions?

Key points include:

  • Zero Cost-Sharing: Insurance plans must cover diagnostic and supplemental breast exams without imposing deductibles, copayments, or coinsurance.
  • Covered Exams: This includes diagnostic mammography, breast MRI, and ultrasound used to evaluate abnormalities or screen high-risk individuals.
  • High Deductible Plans (HDHPs): HDHPs can cover these exams without a deductible while maintaining eligibility for Health Savings Accounts (HSAs).
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 Sen. Shaheen, Jeanne [D-NH].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-26.

CATEGORIES

Health