Many private health plans would have to cover certain breast exams without copays or deductibles. This applies to follow-up tests after a problem is found and extra screening for people at higher risk. The change would start for plan years beginning on or after January 1, 2026.
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Access to Breast Cancer Diagnosis Act of 2025 is a House bill in committee. The latest recorded 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.
Latest action on H.R. 3037: 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.
Who this affects: People who need follow-up breast imaging or extra screening would feel this bill most directly. That includes people with an abnormal screening result and people with higher risk because of family history, personal history, or other risk factors. Private insurers, employers that offer health coverage, and doctors who order these tests would also have to work under the new rules. People in high deductible plans linked to Health Savings Accounts would also be directly affected.
Why this matters: This bill matters because follow-up breast imaging can be expensive, and cost can make people delay care. Removing those charges could make it easier for some people to get testing sooner. At the same time, the bill does not stop insurers from using prior authorization or other approval rules, so access could still depend on how those rules are used. The bill could also change plan costs, but the bill itself does not say how much premiums or overall spending would change.
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