Lung Cancer Screening Expansion Act of 2025 | ChamberLight
Bills · HR 6314
IN COMMITTEE· 119TH CONGRESS
House BillHR 6314Health
Lung Cancer Screening Expansion Act of 2025
INTRO NOV 25· LAST ACTION DEC 10
READING
2MIN
COSPONSORS
0
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8
Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-written
This bill matters because lung cancer is a leading cause of cancer deaths, and finding it early through screening significantly improves a person's chances of survival and successful treatment. If this bill becomes law, more at-risk individuals would likely get screened because they wouldn't face high costs or confusing insurance rules, leading to more cancers being caught at a treatable stage.
Without this bill, many people might hesitate to get these potentially life-saving screenings due to significant out-of-pocket expenses (like deductibles or co-pays) or administrative obstacles (such as needing prior approval). This bill aims to make lung cancer screening as accessible as possible for those who need it most, aligning with broader public health efforts to prevent and detect diseases early.
KEY PROVISIONS
4AI-extracted
PROVISION 01
Requires all health insurance plans and federal health programs to fully cover annual lung cancer screenings without any out-of-pocket costs for eligible individuals.
This provision removes financial barriers, making it easier for high-risk individuals to access crucial early detection services.
PROVISION 02
Establishes eligibility for screening as adults aged 50-80 who a doctor determines are at increased risk for lung cancer based on specific personal, environmental, or familial factors.
This targets screening efforts to the population most likely to benefit from early detection while defining who qualifies for the expanded coverage.
PROVISION 03
Prohibits insurance plans from imposing common barriers to coverage, such as prior authorization, step-therapy, or frequency limits more restrictive than one screening annually.
This streamlines the process for patients and doctors, ensuring timely and straightforward access to recommended screenings.
PROVISION 04
Mandates federal agencies, including the Departments of Health and Human Services, Defense, Veterans Affairs, and the Office of Personnel Management, to issue implementing regulations within 180 days of the bill becoming law.
This sets a clear and relatively quick timeline for the practical application and enforcement of the new coverage requirements across various health programs.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Armed Services, Oversight and Government Reform, 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.
This bill matters because lung cancer is a leading cause of cancer deaths, and finding it early through screening significantly improves a person's chances of survival and successful treatment. If this bill becomes law, more at-risk individuals would likely get screened because they wouldn't face high costs or confusing insurance rules, leading to more cancers being caught at a treatable stage.
Without this bill, many people might hesitate to get these potentially life-saving screenings due to significant out-of-pocket expenses (like deductibles or co-pays) or administrative obstacles (such as needing prior approval). This bill aims to make lung cancer screening as accessible as possible for those who need it most, aligning with broader public health efforts to prevent and detect diseases early.
KEY PROVISIONS
AI-extracted
high
Requires all health insurance plans and federal health programs to fully cover annual lung cancer screenings without any out-of-pocket costs for eligible individuals.
This provision removes financial barriers, making it easier for high-risk individuals to access crucial early detection services.
high
Establishes eligibility for screening as adults aged 50-80 who a doctor determines are at increased risk for lung cancer based on specific personal, environmental, or familial factors.
This targets screening efforts to the population most likely to benefit from early detection while defining who qualifies for the expanded coverage.
high
Prohibits insurance plans from imposing common barriers to coverage, such as prior authorization, step-therapy, or frequency limits more restrictive than one screening annually.
This streamlines the process for patients and doctors, ensuring timely and straightforward access to recommended screenings.
med
Mandates federal agencies, including the Departments of Health and Human Services, Defense, Veterans Affairs, and the Office of Personnel Management, to issue implementing regulations within 180 days of the bill becoming law.
This sets a clear and relatively quick timeline for the practical application and enforcement of the new coverage requirements across various health programs.
The Secretary of Health and Human Services, the Secretary of Defense, the Secretary of Veterans Affairs, and the Director of the Office of Personnel Management shall issue implementing regulations and ensure program-wide compliance.
GLOSSARY
AI-written
Low-dose computed tomography (LDCT)
A special type of X-ray that uses a small amount of radiation to take detailed pictures of the lungs, often used to screen for lung cancer.
Cost-sharing
The portion of medical expenses that a person with health insurance must pay out of their own pocket, such as deductibles, co-payments, or co-insurance.
Prior authorization
A requirement from health insurance companies that a doctor gets approval before a patient can receive certain medical services, treatments, or prescriptions.
Step-therapy
An insurance requirement that patients try a less expensive or preferred medication or treatment option first before the insurer will cover a more expensive alternative.
Utilization controls
Methods used by health insurance companies to manage healthcare costs by influencing medical decisions, such as requiring approval for certain services or limiting the frequency of treatments.
Enactment
The process of making a bill into a law after it has been passed by both chambers of Congress and signed by the President.
Federal health programs
ACTION TIMELINE
3 EVENTS
DEC 10, 25
Referred to the Subcommittee on Health.
COMMITTEE
NOV 25, 25
Introduced in House
INTROREFERRAL
NOV 25, 25
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Armed Services, Oversight and Government Reform, 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.
Health insurance or healthcare services provided by the U.S. government, such as Medicare, Medicaid, TRICARE for military families, or VA healthcare for veterans.
