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Access to Breast Cancer Diagnosis Act of 2025

USA119th CongressHR-3037| House 
| Updated: 4/28/2025
Debbie Dingell

Debbie Dingell

Democratic Representative

Michigan

Cosponsors (30)
Robin L. Kelly (Democratic)Mark Pocan (Democratic)Jennifer L. McClellan (Democratic)Greg Landsman (Democratic)Claudia Tenney (Republican)Beth Van Duyne (Republican)Young Kim (Republican)Melanie A. Stansbury (Democratic)Scott H. Peters (Democratic)Paul Tonko (Democratic)Angie Craig (Democratic)Thomas H. Kean (Republican)John B. Larson (Democratic)Stephen F. Lynch (Democratic)Jahana Hayes (Democratic)Lucy McBath (Democratic)Eleanor Holmes Norton (Democratic)Timothy M. Kennedy (Democratic)Joe Neguse (Democratic)Yvette D. Clarke (Democratic)Brian K. Fitzpatrick (Republican)Lori Trahan (Democratic)Seth Moulton (Democratic)Josh Gottheimer (Democratic)Michael Lawler (Republican)Robert P. Bresnahan (Republican)Gwen Moore (Democratic)Rashida Tlaib (Democratic)Lloyd Doggett (Democratic)Debbie Wasserman Schultz (Democratic)

Ways and Means Committee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill aims to eliminate financial barriers to critical breast cancer detection by prohibiting group health plans and health insurance issuers from imposing cost-sharing requirements for diagnostic and supplemental breast examinations. It amends the Public Health Service Act to ensure that medically necessary services, including diagnostic mammography, MRI, and ultrasound, are covered without deductibles, copayments, or coinsurance. The legislation defines diagnostic breast examinations as those evaluating abnormalities and supplemental breast examinations as screenings for individuals with increased risk factors. While prohibiting cost-sharing, the bill allows plans to require prior authorization and applies to "grandfathered" health plans, without superseding stronger state laws. Additionally, it amends the Internal Revenue Code to permit high-deductible health plans (HDHPs) to cover these examinations without a deductible, preserving Health Savings Account (HSA) eligibility. These provisions will take effect for plan years beginning on or after January 1, 2026, enhancing access to essential breast cancer care.
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Timeline

Bill from Previous Congress

HR 116-2428
Access to Breast Cancer Diagnosis Act of 2019

Bill from Previous Congress

HR 117-5769
Access to Breast Cancer Diagnosis Act of 2021

Bill from Previous Congress

HR 118-3851
Access to Breast Cancer Diagnosis Act of 2023
Apr 28, 2025

Latest Companion Bill Action

S 119-1500
Introduced in Senate
Apr 28, 2025
Introduced in House
Apr 28, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  • Bill from Previous Congress

    HR 116-2428
    Access to Breast Cancer Diagnosis Act of 2019


  • Bill from Previous Congress

    HR 117-5769
    Access to Breast Cancer Diagnosis Act of 2021


  • Bill from Previous Congress

    HR 118-3851
    Access to Breast Cancer Diagnosis Act of 2023


  • April 28, 2025

    Latest Companion Bill Action

    S 119-1500
    Introduced in Senate


  • April 28, 2025
    Introduced in House


  • April 28, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Health

Related Bills

  • S 119-1500: Access to Breast Cancer Diagnosis Act of 2025

Access to Breast Cancer Diagnosis Act of 2025

USA119th CongressHR-3037| House 
| Updated: 4/28/2025
This bill aims to eliminate financial barriers to critical breast cancer detection by prohibiting group health plans and health insurance issuers from imposing cost-sharing requirements for diagnostic and supplemental breast examinations. It amends the Public Health Service Act to ensure that medically necessary services, including diagnostic mammography, MRI, and ultrasound, are covered without deductibles, copayments, or coinsurance. The legislation defines diagnostic breast examinations as those evaluating abnormalities and supplemental breast examinations as screenings for individuals with increased risk factors. While prohibiting cost-sharing, the bill allows plans to require prior authorization and applies to "grandfathered" health plans, without superseding stronger state laws. Additionally, it amends the Internal Revenue Code to permit high-deductible health plans (HDHPs) to cover these examinations without a deductible, preserving Health Savings Account (HSA) eligibility. These provisions will take effect for plan years beginning on or after January 1, 2026, enhancing access to essential breast cancer care.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

HR 116-2428
Access to Breast Cancer Diagnosis Act of 2019

Bill from Previous Congress

HR 117-5769
Access to Breast Cancer Diagnosis Act of 2021

Bill from Previous Congress

HR 118-3851
Access to Breast Cancer Diagnosis Act of 2023
Apr 28, 2025

Latest Companion Bill Action

S 119-1500
Introduced in Senate
Apr 28, 2025
Introduced in House
Apr 28, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  • Bill from Previous Congress

    HR 116-2428
    Access to Breast Cancer Diagnosis Act of 2019


  • Bill from Previous Congress

    HR 117-5769
    Access to Breast Cancer Diagnosis Act of 2021


  • Bill from Previous Congress

    HR 118-3851
    Access to Breast Cancer Diagnosis Act of 2023


  • April 28, 2025

    Latest Companion Bill Action

    S 119-1500
    Introduced in Senate


  • April 28, 2025
    Introduced in House


  • April 28, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Debbie Dingell

Debbie Dingell

Democratic Representative

Michigan

Cosponsors (30)
Robin L. Kelly (Democratic)Mark Pocan (Democratic)Jennifer L. McClellan (Democratic)Greg Landsman (Democratic)Claudia Tenney (Republican)Beth Van Duyne (Republican)Young Kim (Republican)Melanie A. Stansbury (Democratic)Scott H. Peters (Democratic)Paul Tonko (Democratic)Angie Craig (Democratic)Thomas H. Kean (Republican)John B. Larson (Democratic)Stephen F. Lynch (Democratic)Jahana Hayes (Democratic)Lucy McBath (Democratic)Eleanor Holmes Norton (Democratic)Timothy M. Kennedy (Democratic)Joe Neguse (Democratic)Yvette D. Clarke (Democratic)Brian K. Fitzpatrick (Republican)Lori Trahan (Democratic)Seth Moulton (Democratic)Josh Gottheimer (Democratic)Michael Lawler (Republican)Robert P. Bresnahan (Republican)Gwen Moore (Democratic)Rashida Tlaib (Democratic)Lloyd Doggett (Democratic)Debbie Wasserman Schultz (Democratic)

Ways and Means Committee, Energy and Commerce Committee

Health

Related Bills

  • S 119-1500: Access to Breast Cancer Diagnosis Act of 2025
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted