House Bill Would Eliminate Cost-Sharing for High-Risk Breast Cancer Screening Across Medicare, Medicaid

Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Workforce, Armed Services, and Veterans' Affairs, 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.

Introduced in House

Health plans must start covering eligible additional breast imaging with $0 cost-sharing

If you qualify, you should not be billed copays, coinsurance, or deductible costs for the covered screenings and follow-up breast imaging done under the guidelines.

Medicare begins $0 cost-sharing coverage for eligible screening and diagnostic breast imaging

Medicare and Medicare Advantage members who qualify can get the additional imaging without paying out of pocket for the covered service, as long as it follows the guideline timing.

Medicaid coverage and $0 cost-sharing rules take effect (most states)

Medicaid enrollees who qualify should be able to get the covered imaging without copays, and benchmark-style Medicaid plans must include these benefits.

TRICARE starts covering eligible additional breast imaging with no cost-sharing

Military families and retirees on TRICARE who qualify should not be charged cost-shares for the covered breast screening and diagnostic imaging services.

VA begins providing eligible breast screening and diagnostic imaging without copays for qualifying veterans

Eligible veterans can receive the covered imaging through the VA without paying copays, including certain veterans who are not enrolled in VA annual enrollment.