,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #cgdi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #h1 #bjba,mr4   
,br5dan ,f4 ,boyle ( ,p5nsylvania 7=    
himself1 ,mr4 ,de,saulnier1 & ,mr4      
,l[5?al7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
to exp& ! availability ( cov]age = lung 
canc] scre5+s )\t ! imposition ( co/    
%>+4  #a4 ,%ort title ,?is ,act may be  
cit$ z ! ,ka!r9e's ,law = ,lung ,canc]  
,e>ly ,detection & ,survival ,act (     
#bjba4  #b4 ,f9d+s ,congress f9ds !     
foll[+3 7#a7 ,lung canc] is ! numb] #a  
kill] ( all canc]s4  7#b7 ,lung canc]   
causes m dea?s ?an pro/ate canc]1 brea/ 
canc]1 & colorectal canc] comb9$4  7#c7 
,! reason = ! extremely l[ #e-ye>       
survival rate 9 lung canc] pati5ts is ! 
difficulty to f9d x at e>ly /ages 7z    
pati5ts h no symptoms at e>ly /ages74   
7#d7 ,= all /ages ( lung canc]1 ! ov]all
 #e-ye> survival rate is #ai p]c5t1 :ile

 su* rate is #ih p]c5t = pro/ate canc] &
 #ij p]c5t = brea/ canc] 7all /ages74   
7#e7 ,e>ly detection ( lung canc] ?r\gh 
scre5+ c\ld dramatically increase       
survival rates = pati5ts4  #c4 ,exp&+ ! 
availability ( cov]age = lung canc]     
scre5+s )\t ! imposition ( co/ %>+  7a7 
,9 g5]al ,section #bgac ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#ac7 is am5d$-- 7#a7 9          
subsection 7a7-- 7,a7 9 p>agraph 7#b71  
by /rik+ & at ! end2  7,b7 9 p>agraph   
7#c71 by /rik+ ! p]iod at ! end & ins]t+
 a semicolon2  7,c7 9 p>agraph 7#d71 by 
/rik+ ! p]iod at ! end & ins]t+ 2 &2    
7,d7 by r$esignat+ p>agraph 7#e7 z      
p>agraph 7#f72 &  7,e7 by ins]t+ aft]   
p>agraph 7#d7 ! foll[+ new p>agraph3    
7#e7 lung canc] scre5+s1 9 addition to  
any cov]age = su* scre5+s provid$       
pursuant to p>agraph 7#a71 = individuals
 :o h a high risk ( lung canc] due to   
g5etic1 occupational1 family hi/ory1 or 
o!r exposures & :o has a ref]ral f a    
speciali/ 7su* z a pulmon>y m$ic9e      

physician71 provid$ t su* speciali/     
expla9s ! b5efits & h>ms ( su* scre5+s &
 ! individual's risk ( lung canc]4  2 & 
7#b7 by add+ at ! end ! foll[+ new      
subsection3  7d7 ,special rule = c]ta9  
lung canc] scre5+s ,9 ! case ( a lung   
canc] scre5+ furni%$ to an individual t 
w\ld be a s]vice describ$ "u subsection 
7a77#a7 b = ! fact t ! individual /opp$ 
smok+ m ?an #ae ye>s prior to ! date (  
su* scre5+ or is #hj ye>s ( age or old] 
z ( su* date1 su* scre5+ %all be deem$  
to be a s]vice s describ$ "u su*        
subsection4  4  7b7 ,effective date ,!  
am5dm5ts made by subsection 7a7 %all    
apply ) respect to plan ye>s beg9n+ on  
or aft] ,janu>y #a1 #bjbb4