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 En-
ergy 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 jurisdic-
tion 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Lung Cancer Screen-
ing and Prevention Act of 2023’’. 
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SEC. 2. AUTHORITY TO EXPAND COVERAGE OF TESTS FOR 
LUNG 
CANCER 
SCREENING 
UNDER 
THE 
MEDICARE PROGRAM. 
(a) IN GENERAL.—Section 1834(n) of the Social Se-
curity Act (42 U.S.C. 1395m(n)) is amended— 
(1) by redesignating subparagraphs (A) and 
(B) of paragraph (1) as clauses (i) and (ii), respec-
tively, with appropriate indentation; 
(2) by redesignating paragraphs (1) and (2) as 
subparagraphs (A) and (B), respectively, with appro-
priate indentation; 
(3) by striking ‘‘Notwithstanding any other pro-
vision of this title’’ and inserting: 
‘‘(1) IN GENERAL.—Notwithstanding any other 
provision of this title and subject to paragraph (2)’’; 
and 
(4) by adding at the end the following new 
paragraph: 
‘‘(2) AUTHORITY TO COVER NEW LUNG CANCER 
SCREENING TESTS AS PREVENTIVE SERVICES.— 
‘‘(A) IN GENERAL.—Notwithstanding para-
graph (1), in addition to preventive services 
consisting of screening tests for the early detec-
tion of lung cancer covered under this part pur-
suant 
to 
national 
coverage 
determination 
210.14, the Secretary may provide for coverage 
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under this part of other lung cancer screening 
tests that are cleared or approved by the Food 
and Drug Administration as preventive services 
when furnished to appropriate individuals (as 
determined by the Secretary), with such fre-
quency and payment limits as the Secretary de-
termines appropriate in consultation with ap-
propriate organizations. 
‘‘(B) USE
OF
NATIONAL
COVERAGE
DE-
TERMINATION PROCESS.— 
‘‘(i) IN GENERAL.—Coverage of other 
lung cancer screening tests under subpara-
graph (A) shall be determined using the 
process for making national coverage de-
terminations 
(as 
defined 
in 
section 
1869(f)(1)(B)), except that there shall be 
no requirement for a determination under 
section 1861(ddd)(3)(B) with respect to 
such test under such process. 
‘‘(ii) 
RULE
OF
CONSTRUCTION.— 
Nothing in clause (i) shall be construed as 
preventing the Secretary from considering 
recommendations made by entities with ex-
pertise in preventive services, including en-
tities convened by the Secretary or the Di-
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rector of the Agency for Healthcare Re-
search and Quality, with respect to other 
lung cancer screening tests described in 
subparagraph (A).’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall take effect on the date of the enact-
ment of this Act, and apply with respect to coverage of 
preventive services under Part B of title XVIII of the So-
cial Security Act (42 U.S.C. 1395j et seq.) on or after 
such date. 
Æ 
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