‘‘(10) CESSATION
OF
TOBACCO
USE.—Each 
contract with a medicaid managed care organization 
under section 1903(m) shall require the organization 
to 
provide 
coverage 
for 
counseling 
and 
pharmacotherapy for cessation of tobacco use with-
out regard to prior authorization.’’. 
(d) EFFECTIVE DATE.— 
(1) IN GENERAL.—Subject to paragraph (2), 
the amendments made by this section shall apply 
with respect to items and services furnished on or 
after January 1, 2023. 
(2) EXCEPTION
IF
STATE
LEGISLATION
RE-
QUIRED.—In the case of a State plan for medical as-
sistance under title XIX of the Social Security Act 
which the Secretary of Health and Human Services 
determines requires State legislation (other than leg-
islation appropriating funds) in order for the plan to 
meet the additional requirements imposed by the 
amendments made by this section, the State plan 
shall not be regarded as failing to comply with the 
requirements of such title solely on the basis of its 
failure to meet such additional requirements before 
the first day of the first calendar quarter beginning 
after the close of the first regular session of the 
State legislature that begins after the date of the en-
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actment of this Act. For purposes of the previous 
sentence, in the case of a State that has a 2-year 
legislative session, each year of such session shall be 
deemed to be a separate regular session of the State 
legislature. 
SEC. 4. COVERAGE UNDER MEDICARE AND PRIVATE 
HEALTH INSURANCE OF ANNUAL LUNG CAN-
CER 
SCREENING 
WITHOUT 
UTILIZATION 
MANAGEMENT REQUIREMENTS. 
(a) MEDICARE.— 
(1) IN GENERAL.—Section 1834 of the Social 
Security Act (42 U.S.C. 1395m) is amended by add-
ing at the end the following new subsection: 
‘‘(z) SPECIAL RULE FOR ANNUAL LUNG CANCER 
SCREENING.—Notwithstanding any other provision of this 
title, in the case of an annual lung cancer screening for 
which benefits are provided under this part for any indi-
vidual for whom such screening is recommended in accord-
ance with guidelines issued by the Secretary, such benefits 
shall be provided without application of any prior author-
ization.’’. 
(2) APPLICATION
UNDER
MEDICARE
ADVAN-
TAGE.—Section 1852(a)(1)(B) of the Social Security 
Act (42 U.S.C. 1395w–22(a)(1)(B)) is amended by 
adding at the end the following new clause: 
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‘‘(vii) PROHIBITION OF APPLICATION 
OF CERTAIN REQUIREMENTS FOR ANNUAL 
LUNG CANCER SCREENING.—In the case of 
an annual lung cancer screening for which 
benefits are provided under part B for any 
individual for whom such screening is rec-
ommended in accordance with guidelines 
issued by the Secretary for purposes of 
section 1834(z), an MA plan may not im-
pose any prior authorization with respect 
to the coverage of such screening under 
such plan.’’. 
(3) EFFECTIVE DATE.—The amendments made 
by this subsection shall apply with respect to serv-
ices furnished on or after January 1, 2023. 
(b) INDIVIDUAL AND GROUP HEALTH INSURANCE 
MARKETS.— 
(1) IN GENERAL.—Section 2713 of the Public 
Health Service Act (42 U.S.C. 300gg–(3)) is amend-
ed by adding at the end the following new sub-
section: 
‘‘(d) PROHIBITION OF APPLICATION OF CERTAIN RE-
QUIREMENTS FOR ANNUAL LUNG CANCER SCREENING.— 
A group health plan and a health insurance issuer offering 
group or individual health insurance coverage may not im-
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pose any prior authorization with respect to the benefits 
under such plan or coverage for an annual lung cancer 
screening for any individual for whom such screening is 
recommended by the United States Preventive Services 
Task Force.’’. 
(2) EFFECTIVE DATE.—The amendments made 
by this subsection shall apply with respect to plan 
years beginning on or after January 1, 2023. 
Æ 
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