What is the official ID of this bill?
The official print number for this legislation is S 5141.
Free advanced breast screenings and diagnostics for high-risk individuals.
This law mandates that health plans, Medicare, Medicaid, TRICARE, and VA must cover advanced breast cancer screenings and diagnostic imaging, such as MRIs and ultrasounds, without any out-of-pocket costs for high-risk individuals. This change removes financial barriers (deductibles, copayments) for those with dense breast tissue or increased cancer risk, promoting earlier detection across all major health coverage programs.
Key points
No Cost-Sharing: Insurance plans (private and public) cannot charge copayments, deductibles, or coinsurance for additional breast screenings for high-risk patients.
Expanded Coverage: Coverage includes 2D/3D mammograms, ultrasounds, MRIs, and other technologies, with no frequency limits, when medically necessary.
Who Qualifies: Individuals with dense breast tissue or those determined to be at increased risk based on current medical guidelines (e.g., age, family history).
Implementation: Most provisions take effect starting January 1, 2025.
Status:
Expired
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