I 

118TH CONGRESS 

1ST SESSION H. R. 6693 

To amend title XVIII of the Social Security Act to authorize the coverage 

of additional lung cancer screening tests under the Medicare program. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 11, 2023 

Mr. BUCHANAN (for himself, Mr. KILMER, Mrs. STEEL, and Mr. BUCSHON) 

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 title XVIII of the Social Security Act to authorize 

the coverage of additional lung cancer screening tests 

under the Medicare program. 

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 ‘‘Lung Cancer Screen5 ing and Prevention Act of 2023’’. 

2 

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1 SEC. 2. AUTHORITY TO EXPAND COVERAGE OF TESTS FOR 

2 LUNG CANCER SCREENING UNDER THE 

3 MEDICARE PROGRAM. 

4 (a) IN GENERAL.—Section 1834(n) of the Social Se5 curity Act (42 U.S.C. 1395m(n)) is amended— 

6 (1) by redesignating subparagraphs (A) and 

7 (B) of paragraph (1) as clauses (i) and (ii), respec8 tively, with appropriate indentation; 

9 (2) by redesignating paragraphs (1) and (2) as 

10 subparagraphs (A) and (B), respectively, with appro11 priate indentation; 

12 (3) by striking ‘‘Notwithstanding any other pro13 vision of this title’’ and inserting: 

14 ‘‘(1) IN GENERAL.—Notwithstanding any other 

15 provision of this title and subject to paragraph (2)’’; 

16 and 

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

18 paragraph: 

19 ‘‘(2) AUTHORITY TO COVER NEW LUNG CANCER

20 SCREENING TESTS AS PREVENTIVE SERVICES.— 

21 ‘‘(A) IN GENERAL.—Notwithstanding para22 graph (1), in addition to preventive services 

23 consisting of screening tests for the early detec24 tion of lung cancer covered under this part pur25 suant to national coverage determination 

26 210.14, the Secretary may provide for coverage 

3 

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1 under this part of other lung cancer screening 

2 tests that are cleared or approved by the Food 

3 and Drug Administration as preventive services 

4 when furnished to appropriate individuals (as 

5 determined by the Secretary), with such fre6 quency and payment limits as the Secretary de7 termines appropriate in consultation with ap8 propriate organizations. 

9 ‘‘(B) USE OF NATIONAL COVERAGE DE10 TERMINATION PROCESS.— 

11 ‘‘(i) IN GENERAL.—Coverage of other 

12 lung cancer screening tests under subpara13 graph (A) shall be determined using the 

14 process for making national coverage de15 terminations (as defined in section 

16 1869(f)(1)(B)), except that there shall be 

17 no requirement for a determination under 

18 section 1861(ddd)(3)(B) with respect to 

19 such test under such process. 

20 ‘‘(ii) RULE OF CONSTRUCTION.— 

21 Nothing in clause (i) shall be construed as 

22 preventing the Secretary from considering 

23 recommendations made by entities with ex24 pertise in preventive services, including en25 tities convened by the Secretary or the DiVerDate Sep 11 2014 20:47 Jan 03, 2024 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H6693.IH H6693
4 

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1 rector of the Agency for Healthcare Re2 search and Quality, with respect to other 

3 lung cancer screening tests described in 

4 subparagraph (A).’’. 

5 (b) EFFECTIVE DATE.—The amendments made by 

6 subsection (a) shall take effect on the date of the enact7 ment of this Act, and apply with respect to coverage of 

8 preventive services under Part B of title XVIII of the So9 cial Security Act (42 U.S.C. 1395j et seq.) on or after 

10 such date. 

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