What does Preamble of Access to Breast Cancer Diagnosis Act of 2025 do?

This bill aims to amend title XXVII of the Public Health Service Act. The proposed amendment would prohibit group health plans and health insurance issuers from imposing cost-sharing requirements for diagnostic and supplemental breast examinations. The bill was introduced in the House of Representatives on April 28, 2025.

What does SHORT TITLE. of Access to Breast Cancer Diagnosis Act of 2025 do?

This bill is formally titled the Access to Breast Cancer Diagnosis Act of 2025.

What does REQUIRING DIAGNOSTIC AND SUPPLEMENTAL BREAST EXAMINATIONS TO BE of Access to Breast Cancer Diagnosis Act of 2025 do?

This section amends the Public Health Service Act to require group health plans and health insurance issuers to cover diagnostic and supplemental breast examinations without cost-sharing requirements. Plans can still require prior authorization or utilize other controls for these examinations. State laws providing greater protections for breast examination coverage supersede this federal provision. The term 'cost-sharing requirements' includes deductibles, coinsurance, and copayments. Diagnostic breast examinations are medically necessary and appropriate, often used to evaluate abnormalities found during screening or other examinations. Supplemental breast examinations are medically necessary and appropriate, used for screening based on personal or family medical history or risk factors. The amendments apply to grandfathered health plans under the Affordable Care Act. High-deductible health plans with health savings account eligibility can offer diagnostic and supplemental breast examinations without a deductible, starting in 2026. The changes are effective for plan years beginning on or after January 1, 2026.

Back to bills

Access to Breast Cancer Diagnosis Act of 2025

Last updated: 4/28/2025 · Introduced: 4/28/2025

Author: Debbie Dingell (D-MI)

TL;DR (AI)

This bill prohibits group health plans and health insurance issuers from charging deductibles, coinsurance, or copayments for diagnostic and supplemental breast examinations.
Starting in 2026, high-deductible health plans with health savings accounts can offer these examinations without a deductible.
The bill applies to most health plans, including grandfathered plans, and state laws providing greater protections supersede this federal provision.

119th Congressin committeeS. 1500(In Committee)Official page

Verified Votes

No verified votes yet.

Community Votes

No community votes yet. Be the first!

Voting as guest · Sign in for verified votes

Other Sections

Includes provisions on preamble, short title., and 1 more.

3 sections

Click "Show details" to explore individual sections. Use the community vote above or visit All Sections to vote per section.

Read official text

Want the full experience?

Create a free account to cast verified votes on each section, get a personalized summary, and track your voting history.

Create Free Account