,,ii  #aag? ,,congress  #a/ ,session    
,s4 #aiff  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #h1 #bjba,ms4    
,smi? introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,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 ,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]4  7#e7 ,e>ly detection (    
lung canc] ?r\gh scre5+ c\ld            
dramatically increase survival rates =  
pati5ts4  #c4 ,requir+ cov]age ( lung   
canc] scre5+s = c]ta9 individuals )\t   
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 ) respect to   
any individual :o has a v high risk (   
lung canc] due to g5etic1 occupational1 
or o!r exposures & :o has a ref]ral f a 
speciali/1 su* z a pulmon>y m$ic9e      
physician1 :o c expla9 ! b5efits & h>ms 
( ! scre5+ to ! individual1 includ+     
det]m9ation ( lung canc] risk2 &  2 &   
7#b7 by add+ at ! end ! foll[+3  7d7    

,special rule = c]ta9 lung canc] scre5+s
 ,9 ! case ( a lung canc] scre5+ t w\ld 
be a s]vice describ$ 9 subsection       
7a77#a7 b = ! fact t ! individual       
receiv+ ! scre5+ /opp$ smok+ m ?an #ae  
ye>s prior to ! date ( ! scre5+ or is   
#hj ye>s ( age or old] z ( su* date1 su*
 scre5+ %all be deem$ to be a s]vice    
describ$ 9 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