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Access to Breast Cancer Diagnosis Act of 2023

H.R. 3851 Rep. Debbie Dingell (D-MI-6) In committee
Bill text PDF
  1. Introduced Jun 6
  2. Committee Jun 6
  3. Passed House Next
  4. Passed Senate Not yet
  5. To President Not yet
  6. Law Not yet
Where it stands
In committee, Jun 6, 2023Next: House vote
680d ago Dec 17, 2024: Referred to the Subcommittee on Health.
Final votes
No roll callsNo recorded vote on this bill yet
Lobbying
1company, 1 filing
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Summary

This bill amends the Public Health Service Act to require group health plans and health insurance issuers offering group or individual coverage to cover diagnostic and supplemental breast examinations without any cost-sharing, such as deductibles, coinsurance, or copayments. It applies to plan years starting on or after January 1, 2024.

Sec. 2, Requiring diagnostic and supplemental breast examinations to be covered with no cost-sharing: This section adds a new provision to the Public Health Service Act stating that if a health plan or issuer provides benefits for diagnostic and supplemental breast examinations, it cannot impose any cost-sharing requirements for these benefits. It clarifies that plans may still require prior authorization or use other utilization controls, and does not override state laws with greater protections. It defines 'cost-sharing requirements' as deductibles, coinsurance, copayments, and similar out-of-pocket limits. 'Diagnostic breast examination' is defined as a medically necessary exam (like diagnostic mammography, MRI, or ultrasound) to evaluate an abnormality from a screening or other exam. 'Supplemental breast examination' is defined as a medically necessary screening exam (like MRI or ultrasound) for those with no abnormality but with personal or family history or other risk factors. The section also applies these requirements to grandfathered health plans under the Affordable Care Act and creates a safe harbor for high deductible health plans with health savings accounts, allowing them to cover these exams without a deductible for plan years starting on or after January 1, 2024.

Summary of the bill text as introduced in House (Jun 6, 2023), generated by SecBot from the official bill text; the Library of Congress summary is not yet published.

Official record from Congress.gov, the House Clerk and the Senate; lobbying from Lobbying Disclosure Act filings. Updated Oct 28, 2026.