I 

118TH CONGRESS 

2D SESSION H. R. 9417 

To amend titles XVIII and XIX of the Social Security Act and title XXVII 

of the Public Health Service Act to provide no-cost coverage for annual 

screening mammography beginning at 30 years of age. 

IN THE HOUSE OF REPRESENTATIVES 

AUGUST 27, 2024 

Mr. LAWLER (for himself and Mr. WILLIAMS of New York) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To amend titles XVIII and XIX of the Social Security Act 

and title XXVII of the Public Health Service Act to 

provide no-cost coverage for annual screening mammography beginning at 30 years of age. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Early Access to 

5 Screening Act’’. 


ssavage on LAPJG3WLY3PROD with BILLS
2 

•HR 9417 IH

1 SEC. 2. NO-COST COVERAGE OF ANNUAL SCREENING MAM2 MOGRAPHY BEGINNING AT 30 YEARS OF AGE. 

3 (a) COVERAGE UNDER MEDICARE.— 

4 (1) IN GENERAL.—Section 1834(c) of the So5 cial Security Act (42 U.S.C. 1395m(c)) is amend6 ed— 

7 (A) in paragraph (1)(A), by inserting ‘‘or 

8 (3)’’ after ‘‘paragraph (2)’’; 

9 (B) in paragraph (2)— 

10 (i) by striking the paragraph heading 

11 and inserting ‘‘FREQUENCY COVERED BE12 FORE JANUARY 1, 2025’’; and 

13 (ii) in subparagraph (A), by striking 

14 ‘‘Subject’’ and inserting ‘‘With respect to 

15 screening mammography performed before 

16 January 1, 2025, subject’’; and 

17 (C) by adding at the end the following new 

18 paragraph: 

19 ‘‘(3) FREQUENCY COVERED ON OR AFTER JAN20 UARY 1, 2025.—With respect to screening mammog21 raphy performed on or after January 1, 2025— 

22 ‘‘(A) no payment may be made under this 

23 part for screening mammography performed on 

24 a woman under 30 years of age; and 

25 ‘‘(B) in the case of a woman over 29 years 

26 of age, payment may not be made under this 


ssavage on LAPJG3WLY3PROD with BILLS
3 

•HR 9417 IH

1 part for screening mammography performed 

2 within 11 months following the month in which 

3 a previous screening mammography was per4 formed.’’. 

5 (2) PROHIBITION OF COST SHARING.—Section 

6 1833(a)(1) of the Social Security Act (42 U.S.C. 

7 1395l(a)(1)) is amended— 

8 (A) in subparagraph (Y), by inserting after 

9 ‘‘in the case of such services described in sub10 paragraph (A)’’ the following: ‘‘(other than 

11 screening mammography (as defined in section 

12 1861(jj)) performed on or after January 1, 

13 2025)’’; 

14 (B) in subparagraph (GG), by striking 

15 ‘‘and’’ at the end; and 

16 (C) by inserting before the semicolon at 

17 the end the following: ‘‘, and (II) with respect 

18 to screening mammography (as defined in sec19 tion 1861(jj)) performed on or after January 1, 

20 2025, the amounts paid shall be shall be 100 

21 percent of the lesser of the actual charge for 

22 the services or the amount determined under 

23 the fee schedule that applies to such services 

24 under this part’’. 


ssavage on LAPJG3WLY3PROD with BILLS
4 

•HR 9417 IH

1 (3) CONFORMING AMENDMENT.—Section 

2 1862(a)(1)(F) is amended by striking ‘‘section 

3 1834(c)(2)’’ and inserting ‘‘section 1834(c)’’. 

4 (b) COVERAGE UNDER MEDICAID.— 

5 (1) MANDATORY COVERAGE.— 

6 (A) IN GENERAL.—Section 1902(a)(10)(A) 

7 of the Social Security Act (42 U.S.C. 

8 1396a(a)(10)(A)) is amended by inserting 

9 ‘‘(13)(D),’’ before ‘‘(17),’’. 

10 (B) MEDICALLY NEEDY.—Section 

11 1902(a)(10)(C)(iv) of the Social Security Act 

12 (42 U.S.C. 1396a(a)(10)(C)(iv)) is amended by 

13 inserting ‘‘(13)(D),’’ before ‘‘and (17)’’. 

14 (C) ALTERNATIVE BENEFIT PLANS.—Sec15 tion 1937(b) of the Social Security Act (42 

16 U.S.C. 1396u–7(b)) is amended by adding at 

17 the end the following new paragraph: 

18 ‘‘(9) ANNUAL SCREENING MAMMOGRAPHY.— 

19 Notwithstanding the previous provisions of this sec20 tion, a State may not provide for medical assistance 

21 through enrollment of an individual with benchmark 

22 coverage or benchmark-equivalent coverage under 

23 this section unless, beginning on January 1, 2025, 

24 for any individual over age 29, such coverage in25 cludes (and does not impose any deduction, cost 


ssavage on LAPJG3WLY3PROD with BILLS
5 

•HR 9417 IH

1 sharing, or similar charge for) annual screening 

2 mammography described in section 

3 1905(a)(13)(D).’’. 

4 (2) INCLUSION UNDER DIAGNOSTIC, SCREEN5 ING, PREVENTIVE, AND REHABILITATIVE SERV6 ICES.—Section 1905(a)(13) of the Social Security 

7 Act (42 U.S.C. 1396d(a)(13)) is amended— 

8 (A) in subparagraph (B), by striking 

9 ‘‘and’’ at the end; 

10 (B) in subparagraph (C), by adding ‘‘and’’ 

11 at the end; and 

12 (C) by adding at the end the following new 

13 subparagraph: 

14 ‘‘(D) beginning January 1, 2025, for indi15 viduals over age 29, annual screening mammog16 raphy;’’. 

17 (3) PROHIBITION OF COST SHARING.— 

18 (A) IN GENERAL.—Section 1916 of the So19 cial Security Act (42 U.S.C. 1396o) is amend20 ed— 

21 (i) in subsection (a)(2)— 

22 (I) in subparagraph (I), by strik23 ing ‘‘or’’ at the end; 


ssavage on LAPJG3WLY3PROD with BILLS
6 

•HR 9417 IH

1 (II) in subparagraph (J), by 

2 striking ‘‘; and’’ at the end and in3 serting ‘‘, or’’; and 

4 (III) by adding at the end the 

5 following new subparagraph: 

6 ‘‘(K) beginning January 1, 2025, annual 

7 screening mammography described in section 

8 1905(a)(13)(D); and’’; and 

9 (ii) in subsection (b)(2)— 

10 (I) in subparagraph (I), by strik11 ing ‘‘or’’ at the end; 

12 (II) in subparagraph (J), by 

13 striking ‘‘; and’’ at the end and in14 serting ‘‘, or’’; and 

15 (III) by adding at the end the 

16 following new subparagraph: 

17 ‘‘(K) beginning January 1, 2025, annual 

18 screening mammography described in section 

19 1905(a)(13)(D); and’’. 

20 (B) APPLICATION TO ALTERNATIVE COST

21 SHARING.—Section 1916A(b)(3)(B) of the So22 cial Security Act (42 U.S.C. 1396o–1(b)(3)(B)) 

23 is amended by adding at the end the following 

24 new clause: 


ssavage on LAPJG3WLY3PROD with BILLS
7 

•HR 9417 IH

1 ‘‘(xv) Beginning January 1, 2025, an2 nual screening mammography described in 

3 section 1905(a)(13)(D).’’. 

4 (c) COVERAGE UNDER GROUP HEALTH PLANS AND

5 GROUP AND INDIVIDUAL HEALTH INSURANCE.— 

6 (1) IN GENERAL.—Section 2713(a) of the Pub7 lic Health Service Act (42 U.S.C. 300gg–13(a)) is 

8 amended— 

9 (A) in paragraph (2), by striking at the 

10 end ‘‘and’’; 

11 (B) in paragraph (3), by striking at the 

12 end the period and inserting ‘‘; and’’; and 

13 (C) in paragraph (4)— 

14 (i) by striking at the end the period 

15 and inserting ‘‘; and’’; 

16 (ii) by striking ‘‘women, such’’ and in17 serting ‘‘women— 

18 ‘‘(A) such’’; and 

19 (iii) by adding at the end the fol20 lowing new subparagraph: 

21 ‘‘(B) in the case of a woman over 29 years 

22 of age, annual mammography screening.’’. 


ssavage on LAPJG3WLY3PROD with BILLS
8 

•HR 9417 IH

1 (2) EFFECTIVE DATE.—The amendments made 

2 by this subsection shall apply to plan years begin3 ning on or after January 1, 2025. 

Æ 


ssavage on LAPJG3WLY3PROD with BILLS