This bill, titled the "PSA Screening for HIM Act," seeks to enhance early detection of prostate cancer by requiring health plans to cover screenings without imposing cost-sharing. It amends Section 2713(a) of the Public Health Service Act, ensuring that both group health plans and individual health insurance issuers provide this essential coverage. The legislation specifically targets men aged 40 and over who are identified as being at high risk of developing prostate cancer. The bill explicitly defines "high risk" to include African-American men and men with a family history of prostate cancer . A family history is broadly defined to include first-degree relatives who were diagnosed with, developed, or died from prostate cancer, or who have associated cancers or genetic alterations. By eliminating cost-sharing, the bill aims to remove financial barriers to these crucial preventive services, with these provisions taking effect for plan years beginning on or after January 1, 2026 .
Referred to the House Committee on Energy and Commerce.
Health
CancerHealth care costs and insuranceHealth promotion and preventive careMedical tests and diagnostic methodsMinority health
PSA Screening for HIM Act
USA119th CongressHR-1300| House
| Updated: 2/13/2025
This bill, titled the "PSA Screening for HIM Act," seeks to enhance early detection of prostate cancer by requiring health plans to cover screenings without imposing cost-sharing. It amends Section 2713(a) of the Public Health Service Act, ensuring that both group health plans and individual health insurance issuers provide this essential coverage. The legislation specifically targets men aged 40 and over who are identified as being at high risk of developing prostate cancer. The bill explicitly defines "high risk" to include African-American men and men with a family history of prostate cancer . A family history is broadly defined to include first-degree relatives who were diagnosed with, developed, or died from prostate cancer, or who have associated cancers or genetic alterations. By eliminating cost-sharing, the bill aims to remove financial barriers to these crucial preventive services, with these provisions taking effect for plan years beginning on or after January 1, 2026 .