,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #hgbi  ,,in ,,the ,,house ,,of  
,,representatives  ,may #aa1 #bjbf,mr4  
,landsman 7for himself and ,mrs4        
,dingell7 introduced the following bill2
 which was referred to the ,committee on
 ,energy and ,commerce  ,a ,,bill  ,to  
amend title ,,xix of the ,social        
,security ,act to require that          
diagnostic and supplemental breast      
examinations are furnished without cost 
sharing under the ,medicaid program1 and
 for other purposes4  #a4 ,short title  
,this ,act may be cited as the ,no-,cost
 ,breast ,examinations in ,medicaid ,act
 of #bjbf4  #b4 ,requiring that         
diagnostic and supplemental breast      
examinations are furnished without cost 
sharing under the ,medicaid program  7a7
 ,in general  7#a7 ,in general          
,subsections 7a77#b7 and 7b77#b7 of     
section #aiaf of the ,social ,security  
,act 7#db ,u4,s4,c4 #acifo7 are each    
amended--  7,a7 in subparagraph 7,i71 by
 striking or at the end2  7,b7 in       

subparagraph 7,j71 by striking 2 and and
 inserting 1 or2 and  7,c7 by adding at 
the end the following new subparagraph3 
7,k7 diagnostic breast examinations and 
supplemental breast examinations 7as    
such terms are defined in section       
#aije7ll772 and  4  7#b7 ,application to
 alternative cost sharing ,section      
#aiaf;,a7b77#c77;,b7 of the ,social     
,security ,act 7#db ,u4,s4,c4           
#acifo-#a7;b77#c77;,b77 is amended by   
adding at the end the following new     
clause3  7xv7 ,diagnostic breast        
examinations and supplemental breast    
examinations 7as such terms are defined 
in section #aije7ll774  4  7b7          
,definitions ,section #aije of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7 is amended by adding at the end
 the following new subsection3  7ll7    
,definitions relating to breast cancer  
examinations  7#a7 ,diagnostic breast   
examination ,the term diagnostic breast 
examination means a medically necessary 
and appropriate 7in accordance with     

,national ,comprehensive ,cancer        
,network ,guidelines7 examination of the
 breast 7including1 but not limited to  
such an examination using diagnostic    
mammography1 breast magnetic resonance  
imaging1 or breast ultrasound7 that is--
  7,a7 used to evaluate an abnormality  
seen or suspected from a screening      
examination for breast cancer2 or  7,b7 
used to evaluate an abnormality detected
 by another means of examination4  7#b7 
,supplemental breast examination ,the   
term supplemental breast examination    
means a medically necessary and         
appropriate 7in accordance with         
,national ,comprehensive ,cancer        
,network ,guidelines7 examination of the
 breast 7including1 but not limited to  
such an examination using breast        
magnetic resonance imaging or breast    
ultrasound7 that is-- 7,a7 used to      
screen for breast cancer when there is  
no abnormality seen or suspected2 and   
7,b7 furnished based on personal or     
family medical history or additional    

factors that may increase the           
individual's risk of breast cancer4  4  
7c7 ,inclusion of screening mammography 
as a mandatory benefit  7#a7 ,in general
 ,section #aijb7;a77#aj77;,a7 of the    
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#aj77;,a77 is amended1 in the
 matter preceding clause 7i71 by        
inserting 7#ac77;,d71 after 7#ac77;,b714
  7#b7 ,medical assistance ,section     
#aije7;a77#ac7 of the ,social ,security 
,act 7#db ,u4,s4,c4 #acif;d7a77#ac77 is 
amended-- 7,a7 in subparagraph 7,b71 by 
striking and at the end2  7,b7 in       
subparagraph 7,c71 by adding and at the 
end2 and  7,c7 by adding at the end the 
following new subparagraph3  7,d7       
screening mammography 7as defined in    
section #ahfa7;jj77 assigned a grade of 
,a or ,b by the ,united ,states         
,preventive ,services ,task ,force2  4  
7d7 ,effective date ,the amendments made
 by this section shall apply with       
respect to medical assistance furnished 
on or after the date that is #a year    

after the date of the enactment of this 
,act4