This bill amends the Public Health Service Act to mandate that group health plans and health insurance issuers provide coverage for prostate cancer screenings. Specifically, it requires these plans to cover additional evidence-based preventive care and screenings for prostate cancer without any cost-sharing requirements for eligible individuals. This coverage applies to men aged 40 and over who are identified as being at high risk of developing prostate cancer. The legislation defines high-risk men to include African-American men and those with a family history of prostate cancer , which encompasses first-degree relatives with a diagnosis, development, or death from the disease, or specific genetic risk factors. The bill's findings emphasize the high mortality rate of late-stage prostate cancer and its disproportionate impact on African-American men, underscoring the importance of early detection. These amendments are set to apply to plan years beginning on or after January 1, 2025.
CancerHealth care costs and insuranceHealth care coverage and accessHealth promotion and preventive careMedical tests and diagnostic methods
PSA Screening for HIM Act
USA119th CongressS-297| Senate
| Updated: 1/29/2025
This bill amends the Public Health Service Act to mandate that group health plans and health insurance issuers provide coverage for prostate cancer screenings. Specifically, it requires these plans to cover additional evidence-based preventive care and screenings for prostate cancer without any cost-sharing requirements for eligible individuals. This coverage applies to men aged 40 and over who are identified as being at high risk of developing prostate cancer. The legislation defines high-risk men to include African-American men and those with a family history of prostate cancer , which encompasses first-degree relatives with a diagnosis, development, or death from the disease, or specific genetic risk factors. The bill's findings emphasize the high mortality rate of late-stage prostate cancer and its disproportionate impact on African-American men, underscoring the importance of early detection. These amendments are set to apply to plan years beginning on or after January 1, 2025.