Bill would end out-of-pocket costs for diagnostic and supplemental breast exams
In committeeH.R. 3037Latest action
Sponsor: Debbie Dingell · Representative · MI
AIDecoded by AI · checked against the recordRead the official text
Official title: Access to Breast Cancer Diagnosis Act of 2025
119th Congress
Topics: Health care
Introduced:
Read the official bill on Congress.govIn plain words
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HR 3037 bans deductibles and copays for diagnostic and supplemental breast exams starting January 1, 2026.
50-second read · 5 questions answered below
What does this do?
HR 3037 would require health insurance plans to cover diagnostic and supplemental breast exams with no deductibles, copays, or coinsurance charged to patients. Covered exams include MRIs, ultrasounds, and diagnostic mammograms. The requirement would take effect for plan years beginning January 1, 2026.
Who does it affect?
The bill affects people who need follow-up breast imaging after an abnormal screening result or who are recommended extra screening due to elevated personal risk. It applies to most private health insurance, including job-based group plans, individual plans, grandfathered plans, and high-deductible health plans linked to Health Savings Accounts.
Why does it matter?
Currently, diagnostic and supplemental breast exams often carry out-of-pocket costs even when a routine mammogram is fully covered. Insurance companies and employers offering health coverage would be required to absorb those costs rather than passing them to patients.
What does it cost, and who pays?
- Insurers and employers absorb exam costs
- No cost sharing passed to patients
- Applies to most private health plans
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Where does it stand?
- IntroducedApr 28, 2025
- House committeeYou are here · Apr 28, 2025
- House vote
- Senate
- The president's desk
Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the president.
Latest action: — 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.