What does Preamble of HR 1300 do?

This bill aims to amend title XXVII of the Public Health Service Act. It would require group health plans and health insurance issuers to provide coverage for prostate cancer screenings. The bill stipulates that coverage for these screenings should be provided without cost-sharing requirements.

What does SHORT TITLE. of HR 1300 do?

This bill is formally titled the Prostate-Specific Antigen Screening for High-risk Insured Men Act.

What does FINDINGS. of HR 1300 do?

This section outlines findings related to prostate cancer in the United States. Prostate cancer is the second leading cause of cancer death in men and the second most commonly diagnosed cancer. The survival rate significantly decreases when prostate cancer is diagnosed in late stages compared to early stages. Symptoms of prostate cancer are often absent until the cancer reaches a late stage. African-American men experience a disproportionately higher rate of prostate cancer diagnosis and mortality compared to White men. Men with a family history of prostate cancer are at an increased risk of diagnosis. Medical societies recommend earlier screening discussions for African-American men and those with a family history. The United States Preventive Services Task Force has identified research on screening African-American men as a high-priority. Minimizing barriers to screening is important to detect cancer early and improve survival rates. Treating metastatic prostate cancer is significantly more costly than treating localized, early-stage cancer.

What does REQUIREMENT FOR GROUP HEALTH PLANS AND HEALTH INSURANCE ISSUERS of HR 1300 do?

This section amends the Public Health Service Act to require group health plans and health insurance issuers to provide coverage for prostate cancer screenings without cost-sharing requirements for men age 40 and over who are at high risk. High risk is defined as including African-American men and men with a family history of prostate cancer, where a family history includes a first-degree relative diagnosed, developed, or died from prostate cancer, or has a related cancer or genetic alteration. The amendment also clarifies that plans and issuers are not prohibited from providing coverage for services beyond those recommended by the United States Preventive Services Task Force. The amendment expands coverage for preventive health services to include evidence-based items or services with a rating of 'A' or 'B' from the United States Preventive Services Task Force, immunizations recommended by the Advisory Committee on Immunization Practices, and evidence-informed preventive care for infants, children, and adolescents. For women, the amendment requires coverage for additional preventive care and screenings not described in subparagraph (A) as provided for in comprehensive guidelines supported by the Health Resources and Services Administration. The amendment specifies that recommendations from the United States Preventive Services Task Force regarding breast cancer screening, mammography, and prevention are considered current, except for those issued around November 2009.

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PSA Screening for HIM Act — HR. 1300

Last updated: 2/13/2025 · Introduced: 2/13/2025

Author: Neal Dunn (R-FL)

TL;DR (AI)

The bill mandates that group health plans and health insurance issuers cover prostate cancer screenings without cost-sharing for men aged 40 and older who are considered high-risk, including African-American men and those with a family history of prostate cancer.
The bill expands coverage for preventive health services to include recommendations from the United States Preventive Services Task Force, immunizations, and evidence-informed preventive care for various age groups.
The bill clarifies that health plans are not restricted from providing coverage beyond recommendations from the United States Preventive Services Task Force.

119th Congressin committeeOfficial page

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Includes provisions on preamble, short title., and 2 more.

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