,,ii  #aagth ,,congress  #ast ,session  
,s4 #aiff  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #h1      
#bjba,ms4 ,smith introduced the         
following bill2 which was read twice and
 referred to the ,committee on ,health1 
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to amend title ,,xxvii of the  
,public ,health ,service ,act to expand 
the availability of coverage for lung   
cancer screenings without the imposition
 of cost sharing4  #a4 ,short title     
,this ,act may be cited as the          
,katherine's ,lung ,cancer ,early       
,detection and ,survival ,act of #bjba4 
#b4 ,findings ,congress finds the       
following3 7#a7 ,lung cancer is the     
number #a killer of all cancers4  7#b7  
,lung cancer causes more deaths than    
prostate cancer1 breast cancer1 and     
colorectal cancer combined4  7#c7 ,the  
reason for the extremely low #e-year    
survival rate in lung cancer patients is
 the difficulty to find it at early     
stages 7as patients have no symptoms at 

early stages74  7#d7 ,for all stages of 
lung cancer1 the overall #e-year        
survival rate is #ai percent1 while such
 rate is #ih percent for prostate cancer
 and #ij percent for breast cancer4     
7#e7 ,early detection of lung cancer    
through screening could dramatically    
increase survival rates for patients4   
#c4 ,requiring coverage of lung cancer  
screenings for certain individuals      
without cost sharing  7a7 ,in general   
,section #bgac of the ,public ,health   
,service ,act 7#db ,u4,s4,c4            
#cjj;gg-#ac7 is amended-- 7#a7 in       
subsection 7a7-- 7,a7 in paragraph 7#b71
 by striking and at the end2  7,b7 in   
paragraph 7#c71 by striking the period  
at the end and inserting a semicolon2   
7,c7 in paragraph 7#d71 by striking the 
period at the end and inserting 2 and2  
7,d7 by redesignating paragraph 7#e7 as 
paragraph 7#f72 and  7,e7 by inserting  
after paragraph 7#d7 the following new  
paragraph3  7#e7 lung cancer screenings1
 with respect to any individual who has 

a very high risk of lung cancer due to  
genetic1 occupational1 or other         
exposures and who has a referral from a 
specialist1 such as a pulmonary medicine
 physician1 who can explain the benefits
 and harms of the screening to the      
individual1 including determination of  
lung cancer risk2 and  2 and  7#b7 by   
adding at the end the following3  7d7   
,special rule for certain lung cancer   
screenings ,in the case of a lung cancer
 screening that would be a service      
described in subsection 7a77#a7 but for 
the fact that the individual receiving  
the screening stopped smoking more than 
#ae years prior to the date of the      
screening or is #hj years of age or     
older as of such date1 such screening   
shall be deemed to be a service         
described in such subsection4  4  7b7   
,effective date ,the amendments made by 
subsection 7a7 shall apply with respect 
to plan years beginning on or after     
,january #a1 #bjbb4