Access to Breast Cancer Diagnosis Act of 2025
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Summary
This bill amends the Public Health Service Act to require group health plans and health insurance issuers to cover diagnostic and supplemental breast examinations without cost-sharing requirements (deductibles, copayments, or coinsurance). The bill defines diagnostic breast examinations as those used to evaluate abnormalities detected by screening or other means, and supplemental breast examinations as additional screening based on personal or family medical history or increased risk factors. The requirement applies to plan years beginning January 1, 2026, and does not prevent plans from requiring prior authorization or other utilization controls.
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