S. 4355 — Introduced in Senate

II 116th CONGRESS 2d Session S. 4355 IN THE SENATE OF THE UNITED STATES July 29, 2020 Ms. Smith introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To amend title XXVII of the Public Health Service Act to require group health plans and health insurance issuers offering group or individual health insurance coverage to provide benefits for lung cancer screenings for certain individuals without the imposition of cost sharing. 1. Short title This Act may be cited as the Katherine’s Lung Cancer Early Detection and Survival Act of 2020. 2. Findings Congress finds the following: (1) Among cancers, lung cancer is the number 1 killer. (2) Lung cancer causes more deaths than prostate cancer, breast cancer, and colorectal cancer combined. (3) The reason for the extremely low 5-year survival rate in lung cancer patients is the difficulty to find it at early stages (as patients have no symptoms at early stages). (4) For all stages of lung cancer, the overall 5-year survival rate is 19 percent, while such rate is 98 percent for prostate cancer and 90 percent for breast cancer (all stages). (5) Early detection of lung cancer through screening could dramatically increase survival rates for patients. (6) Current law mandates free screening for breast cancer, prostate cancer, and colorectal cancer at much earlier ages than for lung cancer, regardless of preexisting conditions of the individual to be screened. (7) Free screening starts at age 40 for breast cancer but for lung cancer does not start until age 55, and then and only for individuals with a history of smoking 30 or more packs of cigarettes per year. (8) This Act would save lives and money through early detection of lung cancer by starting free screening at age 40. 3. Requiring coverage of lung cancer screenings for certain individuals without cost sharing (a) In general Section 2713(a) of the Public Health Service Act (42 U.S.C. 300gg–13(a)) is amended— (1) in paragraph (2), by striking and at the end; (2) in paragraph (3), by striking the period at the end and inserting a semicolon; (3) in paragraph (4), by striking the period at the end and inserting ; and; (4) by redesignating paragraph (5) as paragraph (6); and (5) by inserting after paragraph (4) the following new paragraph: (5) with respect to individuals 40 years of age or older, lung cancer screenings, regardless of the smoking history (if any) of such an individual. . (b) Effective date The amendments made by subsection (a) shall apply with respect to plan years beginning on or after January 1, 2021.