Bill would require free lung cancer screenings, ease insurer approval rules

What does this do?

This bill requires Medicaid to cover annual lung cancer screenings at no cost, matching U.S. Preventive Services Task Force guidelines, and removes prior authorization requirements. It also expands Medicaid coverage of tobacco- and vaping-cessation counseling and medication to all enrollees, and blocks Medicare and private insurers from requiring prior authorization for eligible patients' lung cancer screenings.

Who does it affect?

The bill affects Medicaid enrollees, Medicare beneficiaries, and people with private or employer health insurance, especially current or former smokers and those at high risk for lung cancer. State Medicaid programs and health insurers must adjust coverage rules starting in 2028.

Why does it matter?

Insurers and state Medicaid programs would need to change coverage and approval processes, and the GAO would study gaps in who qualifies for screening under current guidelines, including firefighters, veterans, and younger women.

What does it cost, and who pays?

• $10 million per year
• 2028 through 2032
• funds public education campaign