H.R. 8729

119 HR 8729 IH: No-Cost Breast Examinations in Medicaid Act of 2026
 U.S. House of Representatives
 2026-05-11
 text/xml
 EN
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 I  119th CONGRESS  2d Session  H. R. 8729  IN THE HOUSE OF REPRESENTATIVES   May 11, 2026   Mr. Landsman  (for himself and  Mrs. Dingell ) introduced the following bill; 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 program, and for other purposes.
1.
Short title
This Act may be cited as the   No-Cost Breast Examinations in Medicaid Act of 2026  .
2.
Requiring that diagnostic and supplemental breast examinations are furnished without cost sharing under the Medicaid program
(a)
In general
(1)
In general
Subsections (a)(2) and (b)(2) of section 1916 of the Social Security Act ( 42 U.S.C. 1396o ) are each amended—
(A)
in subparagraph (I), by striking  or  at the end;
(B)
in subparagraph (J), by striking  ; and  and inserting  , or ; and
(C)
by adding at the end the following new subparagraph:
(K)
diagnostic breast examinations and supplemental breast examinations (as such terms are defined in section 1905(ll)); and
 .
(2)
Application to alternative cost sharing
Section 1916A(b)(3)(B) of the Social Security Act ( 42 U.S.C. 1396o–1(b)(3)(B) ) is amended by adding at the end the following new clause:
(xv)
Diagnostic breast examinations and supplemental breast examinations (as such terms are defined in section 1905(ll)).
 .
(b)
Definitions
Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ) is amended by adding at the end the following new subsection:
(ll)
Definitions relating to breast cancer examinations
(1)
Diagnostic breast examination
The term  diagnostic breast examination  means a medically necessary and appropriate (in accordance with National Comprehensive Cancer Network Guidelines) examination of the breast (including, but not limited to such an examination using diagnostic mammography, breast magnetic resonance imaging, or breast ultrasound) that is—
(A)
used to evaluate an abnormality seen or suspected from a screening examination for breast cancer; or
(B)
used to evaluate an abnormality detected by another means of examination.
(2)
Supplemental breast examination
The term  supplemental breast examination  means a medically necessary and appropriate (in accordance with National Comprehensive Cancer Network Guidelines) examination of the breast (including, but not limited to such an examination using breast magnetic resonance imaging or breast ultrasound) that is—
(A)
used to screen for breast cancer when there is no abnormality seen or suspected; and
(B)
furnished based on personal or family medical history or additional factors that may increase the individual’s risk of breast cancer.
 .
(c)
Inclusion of screening mammography as a mandatory benefit
(1)
In general
Section 1902(a)(10)(A) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(A) ) is amended, in the matter preceding clause (i), by inserting  (13)(D),  after  (13)(B), .
(2)
Medical assistance
Section 1905(a)(13) of the Social Security Act ( 42 U.S.C. 1396d(a)(13) ) is amended—
(A)
in subparagraph (B), by striking  and  at the end;
(B)
in subparagraph (C), by adding  and  at the end; and
(C)
by adding at the end the following new subparagraph:
(D)
screening mammography (as defined in section 1861(jj)) assigned a grade of A or B by the United States Preventive Services Task Force;
 .
(d)
Effective date
The amendments made by this section shall apply with respect to medical assistance furnished on or after the date that is 1 year after the date of the enactment of this Act.