Free Lung Cancer Screening and Tobacco Cessation Coverage in Medicaid and Medicare
This Act mandates annual lung cancer screening coverage with no cost-sharing for individuals covered by Medicaid, Medicare, and private insurance, provided the screening is recommended by the U.S. Preventive Services Task Force. It prohibits prior authorization requirements for these screenings. Furthermore, it expands access to counseling and pharmacotherapy for tobacco cessation to all Medicaid beneficiaries, removing the limitation that previously restricted some services to pregnant women.
Key points
Mandatory annual lung cancer screening coverage with no cost-sharing for eligible individuals under Medicaid, Medicare, and private health plans.
Prohibition of prior authorization requirements for lung cancer screenings across covered programs.
Expansion of tobacco cessation counseling and pharmacotherapy coverage to all Medicaid beneficiaries, removing the limitation to pregnant women.
Requirement for Medicaid Managed Care Organizations to provide these screening and cessation services without prior authorization.
Authorization of $10,000,000 annually for fiscal years 2026 through 2030 for an education and outreach campaign regarding lung cancer screening.
Introduced
Additional Information
Print number: 119_HR_6178
Sponsor: Rep. Castor, Kathy [D-FL-14]
Process start date: 2025-11-20