,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #chea  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #f1 #bjbc,mrs4  
,d+ell 7= h]self1 ,mr4 ,fitzpatrick1    
,ms4 ,wass]man ,s*ultz1 & ,mr4 ,allr$7  
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xxvii ( !     
,public ,heal? ,s]vice ,act to prohibit 
gr\p heal? plans & heal? insurance      
issu]s (f]+ gr\p or individual heal?    
insurance cov]age f impos+ co/-%>+      
requirem5ts ) respect to diagno/ic &    
supplem5tal brea/ exam9ations4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,access to ,brea/ ,canc] ,diagnosis ,act
 ( #bjbc4  #b4 ,requir+ diagno/ic &     
supplem5tal brea/ exam9ations to be     
cov]$ ) no co/-%>+ requirem5ts  7a7 ,9  
g5]al ,subp>t ,,ii ( "p ,a ( title      

,,xxvii ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is  
am5d$ by add+ at ! end ! foll[+ new     
section3  #bgcj4 ,diagno/ic &           
supplem5tal brea/ exam9ations  7a7 ,9   
g5]al ,9 ! case ( a gr\p heal? plan1 or 
a heal? insurance issu] (f]+ gr\p or    
individual heal? insurance cov]age1 t   
provides b5efits ) respect to diagno/ic 
& supplem5tal brea/ exam9ations furni%$ 
to an individual enroll$ "u su* plan or 
su* cov]age1 su* plan or cov]age %all n 
impose any co/-%>+ requirem5ts = ^!     
b5efits4  7b7 ,con/ruction ,no?+ 9 ?is  
section %all be con/ru$--  7#a7 to      
prohibit a gr\p heal? plan or heal?     
insurance issu] f requir+ timely prior  
au?orization or impos+ o!r appropriate  
utilization controls 9 approv+ cov]age =
 any diagno/ic & supplem5tal brea/      
exam9ation2 or  7#b7 to sup]s$e a ,/ate 
law t provides great] protections )     
respect to ! cov]age ( diagno/ic &      
supplem5tal brea/ exam9ations ?an is    
provid$ "u ?is section4  7c7 ,def9itions

 ,9 ?is section3 7#a7 ,co/-%>+          
requirem5ts ,! t]m co/-%>+ requirem5ts  
means a d$uctible1 co9surance1 copaym5t1
 & any maximum limitation on !          
application ( su* a d$uctible1          
co9surance1 copaym5t or simil>          
out-(-pocket exp5se4  7#b7 ,diagno/ic   
brea/ exam9ation ,! t]m diagno/ic brea/ 
exam9ation means a m$ically necess>y &  
appropriate 79 accordance ) ,national   
,compreh5sive ,canc] ,network           
,guidel9es7 exam9ation ( ! brea/        
7includ+ su* an exam9ation us+ diagno/ic
 mammography1 brea/ magnetic resonance  
imag+1 or brea/ ultras\nd7 t is-- 7,a7  
us$ to evaluate an abnormality se5 or   
suspect$ f a scre5+ exam9ation = brea/  
canc]2 or  7,b7 us$ to evaluate an      
abnormality detect$ by ano!r means (    
exam9ation4  7#c7 ,supplem5tal brea/    
exam9ations ,! t]m supplem5tal brea/    
exam9ation means a m$ically necess>y &  
appropriate 79 accordance ) ,national   
,compreh5sive ,canc] ,network           
,guidel9es7 exam9ation ( ! brea/        

7includ+ su* an exam9ation us+ brea/    
magnetic resonance imag+ or brea/       
ultras\nd7 t is--  7,a7 us$ to scre5 =  
brea/ canc] :5 !re is no abnormality se5
 or suspect$2 &  7,b7 furni%$ bas$ on   
p]sonal or family m$ical hi/ory or      
additional factors t may increase !     
individual's risk ( brea/ canc]4  4  7b7
 ,application to gr&fa!r$ heal? plans   
,section #abea7;a77#d77;,a7 ( ! ,pati5t 
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjaa7;a77#d77;,a77 is       
am5d$-- 7#a7 by /rik+ title & ins]t+    
title1 or z add$ aft] ! date ( !        
enactm5t ( ?is ,act2 &  7#b7 by add+ at 
! end ! foll[+ new clause3  7v7 ,section
 #bgcj 7relat+ to cov]age = diagno/ic & 
supplem5tal brea/ exam9ations74  4  7c7 
,application to high d$uctible heal?    
plans ) heal? sav+s acc\nt eligibility  
,section #bbc7;c77#b7 ( ! ,int]nal      
,rev5ue ,code ( #aihf is am5d$ by add+  
at ! end ! foll[+3  7,h7 ,safe h>bor =  
abs5ce ( d$uctible = diagno/ic &        
supplem5tal brea/ exam9ations ,9 ! case 

( plan ye>s beg9n+ on or aft] ,janu>y   
#a1 #bjbd1 a plan %all n fail to be     
treat$ z a high d$uctible heal? plan by 
reason ( fail+ to h a d$uctible =       
diagno/ic & supplem5tal brea/           
exam9ations4  4  7d7 ,effective date ,! 
am5dm5ts made by ?is section %all apply 
) respect to plan ye>s beg9n+ on or aft]
 ,janu>y #a1 #bjbd4