Official Summaries

Lung Cancer Screening and Prevention Act of 2025

This bill authorizes Medicare coverage of additional types of lung cancer screening tests that are approved by the Food and Drug Administration, regardless of whether they are recommended by the United States Preventive Services Task Force. The Centers for Medicare & Medicaid Services must set coverage and payment limits for such tests. (Currently, Medicare covers screening tests for the early detection of lung cancer if they are recommended by the task force.)

Current Full Text

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1406 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 1406

   To amend title XVIII of the Social Security Act to authorize the 
 coverage of additional lung cancer screening tests under the Medicare 
                                program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 18, 2025

 Mr. Buchanan (for himself, Mr. Kennedy of New York, Mr. Griffith, Mr. 
 LaHood, Mr. Soto, and Ms. Wasserman Schultz) introduced the following 
 bill; which was referred to the Committee on Energy and Commerce, and 
  in addition to the Committee on Ways and Means, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

_______________________________________________________________________

                                 A BILL


 
   To amend title XVIII of the Social Security Act to authorize the 
 coverage of additional lung cancer screening tests under the Medicare 
                                program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Lung Cancer Screening and Prevention 
Act of 2025''.

SEC. 2. AUTHORITY TO EXPAND COVERAGE OF TESTS FOR LUNG CANCER SCREENING 
              UNDER THE MEDICARE PROGRAM.

    (a) In General.--Section 1834(n) of the Social Security Act (42 
U.S.C. 1395m(n)) is amended--
            (1) by redesignating subparagraphs (A) and (B) of paragraph 
        (1) as clauses (i) and (ii), respectively, with appropriate 
        indentation;
            (2) by redesignating paragraphs (1) and (2) as 
        subparagraphs (A) and (B), respectively, with appropriate 
        indentation;
            (3) by striking ``Notwithstanding any other provision of 
        this title'' and inserting:
            ``(1) In general.--Notwithstanding any other provision of 
        this title and subject to paragraph (2)''; and
            (4) by adding at the end the following new paragraph:
            ``(2) Authority to cover new lung cancer screening tests as 
        preventive services.--
                    ``(A) In general.--Notwithstanding paragraph (1), 
                in addition to preventive services consisting of 
                screening tests for the early detection of lung cancer 
                covered under this part pursuant to national coverage 
                determination 210.14, the Secretary may provide for 
                coverage under this part of other lung cancer screening 
                tests that are cleared or approved by the Food and Drug 
                Administration as preventive services when furnished to 
                appropriate individuals (as determined by the 
                Secretary), with such frequency and payment limits as 
                the Secretary determines appropriate in consultation 
                with appropriate organizations.
                    ``(B) Use of national coverage determination 
                process.--
                            ``(i) In general.--Coverage of other lung 
                        cancer screening tests under subparagraph (A) 
                        shall be determined using the process for 
                        making national coverage determinations (as 
                        defined in section 1869(f)(1)(B)), except that 
                        there shall be no requirement for a 
                        determination under section 1861(ddd)(3)(B) 
                        with respect to such test under such process.
                            ``(ii) Rule of construction.--Nothing in 
                        clause (i) shall be construed as preventing the 
                        Secretary from considering recommendations made 
                        by entities with expertise in preventive 
                        services, including entities convened by the 
                        Secretary or the Director of the Agency for 
                        Healthcare Research and Quality, with respect 
                        to other lung cancer screening tests described 
                        in subparagraph (A).''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
take effect on the date of the enactment of this Act, and apply with 
respect to coverage of preventive services under Part B of title XVIII 
of the Social Security Act (42 U.S.C. 1395j et seq.) on or after such 
date.
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