Legis Daily

Access to Breast Cancer Diagnosis Act of 2025

USA119th CongressS-1500| Senate 
| Updated: 4/28/2025
Jeanne Shaheen

Jeanne Shaheen

Democratic Senator

New Hampshire

Cosponsors (7)
Katie Boyd Britt (Republican)Adam B. Schiff (Democratic)Jon Ossoff (Democratic)Kirsten E. Gillibrand (Democratic)Roger F. Wicker (Republican)Sheldon Whitehouse (Democratic)Shelley Moore Capito (Republican)

Health, Education, Labor, and Pensions Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill, titled the "Access to Breast Cancer Diagnosis Act of 2025," amends the Public Health Service Act to prohibit group health plans and health insurance issuers from imposing cost-sharing requirements for diagnostic and supplemental breast examinations. This means that deductibles, coinsurance, copayments, and similar out-of-pocket expenses would not apply to these services. The legislation aims to remove financial barriers for individuals needing these crucial examinations, which include diagnostic mammography, breast MRI, and breast ultrasound. The bill defines diagnostic breast examinations as those used to evaluate abnormalities found during screening or by other means, while supplemental breast examinations are for screening based on increased risk factors. Importantly, the bill clarifies that it does not prevent plans from requiring prior authorization or other utilization controls, nor does it supersede stronger state laws. It also ensures that grandfathered health plans and high deductible health plans with health savings account eligibility can comply without penalty, with the provisions taking effect for plan years beginning on or after January 1, 2026.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

S 116-3216
Access to Breast Cancer Diagnosis Act of 2020

Bill from Previous Congress

S 117-1067
Access to Breast Cancer Diagnosis Act of 2021

Bill from Previous Congress

S 118-2464
Access to Breast Cancer Diagnosis Act of 2023
Apr 28, 2025

Latest Companion Bill Action

HR 119-3037
Introduced in House
Apr 28, 2025
Introduced in Senate
Apr 28, 2025
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  • Bill from Previous Congress

    S 116-3216
    Access to Breast Cancer Diagnosis Act of 2020


  • Bill from Previous Congress

    S 117-1067
    Access to Breast Cancer Diagnosis Act of 2021


  • Bill from Previous Congress

    S 118-2464
    Access to Breast Cancer Diagnosis Act of 2023


  • April 28, 2025

    Latest Companion Bill Action

    HR 119-3037
    Introduced in House


  • April 28, 2025
    Introduced in Senate


  • April 28, 2025
    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Health

Related Bills

  • HR 119-3037: Access to Breast Cancer Diagnosis Act of 2025

Access to Breast Cancer Diagnosis Act of 2025

USA119th CongressS-1500| Senate 
| Updated: 4/28/2025
This bill, titled the "Access to Breast Cancer Diagnosis Act of 2025," amends the Public Health Service Act to prohibit group health plans and health insurance issuers from imposing cost-sharing requirements for diagnostic and supplemental breast examinations. This means that deductibles, coinsurance, copayments, and similar out-of-pocket expenses would not apply to these services. The legislation aims to remove financial barriers for individuals needing these crucial examinations, which include diagnostic mammography, breast MRI, and breast ultrasound. The bill defines diagnostic breast examinations as those used to evaluate abnormalities found during screening or by other means, while supplemental breast examinations are for screening based on increased risk factors. Importantly, the bill clarifies that it does not prevent plans from requiring prior authorization or other utilization controls, nor does it supersede stronger state laws. It also ensures that grandfathered health plans and high deductible health plans with health savings account eligibility can comply without penalty, with the provisions taking effect for plan years beginning on or after January 1, 2026.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

S 116-3216
Access to Breast Cancer Diagnosis Act of 2020

Bill from Previous Congress

S 117-1067
Access to Breast Cancer Diagnosis Act of 2021

Bill from Previous Congress

S 118-2464
Access to Breast Cancer Diagnosis Act of 2023
Apr 28, 2025

Latest Companion Bill Action

HR 119-3037
Introduced in House
Apr 28, 2025
Introduced in Senate
Apr 28, 2025
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  • Bill from Previous Congress

    S 116-3216
    Access to Breast Cancer Diagnosis Act of 2020


  • Bill from Previous Congress

    S 117-1067
    Access to Breast Cancer Diagnosis Act of 2021


  • Bill from Previous Congress

    S 118-2464
    Access to Breast Cancer Diagnosis Act of 2023


  • April 28, 2025

    Latest Companion Bill Action

    HR 119-3037
    Introduced in House


  • April 28, 2025
    Introduced in Senate


  • April 28, 2025
    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Jeanne Shaheen

Jeanne Shaheen

Democratic Senator

New Hampshire

Cosponsors (7)
Katie Boyd Britt (Republican)Adam B. Schiff (Democratic)Jon Ossoff (Democratic)Kirsten E. Gillibrand (Democratic)Roger F. Wicker (Republican)Sheldon Whitehouse (Democratic)Shelley Moore Capito (Republican)

Health, Education, Labor, and Pensions Committee

Health

Related Bills

  • HR 119-3037: Access to Breast Cancer Diagnosis Act of 2025
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted