I 
117TH CONGRESS 
2D SESSION 
H. R. 9505 
To provide for health coverage with no cost-sharing for additional breast 
screenings for certain individuals at greater risk for breast cancer. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 13, 2022 
Ms. DELAURO (for herself, Mr. FITZPATRICK, Ms. KAPTUR, Mr. COURTNEY, 
Mr. BISHOP of Georgia, Ms. SCHAKOWSKY, Mr. TRONE, Ms. JACKSON 
LEE, and Mr. KAHELE) introduced the following bill; which was referred 
to the Committee on Energy and Commerce, and in addition to the Com-
mittees on Ways and Means, Armed Services, and Veterans’ Affairs, 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 com-
mittee concerned 
A BILL 
To provide for health coverage with no cost-sharing for addi-
tional breast screenings for certain individuals at greater 
risk for breast cancer. 
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 ‘‘Find It Early Act’’. 
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SEC. 2. COVERAGE WITH NO COST-SHARING FOR ADDI-
TIONAL BREAST SCREENINGS FOR CERTAIN 
INDIVIDUALS AT GREATER RISK FOR BREAST 
CANCER. 
(a) COVERAGE UNDER GROUP HEALTH PLANS AND 
GROUP
AND
INDIVIDUAL
HEALTH
INSURANCE
COV-
ERAGE.— 
(1) IN GENERAL.—Section 2713(a) of the Pub-
lic Health Service Act (42 U.S.C. 300gg–13(a)) is 
amended— 
(A) in paragraph (2), by striking at the 
end ‘‘and’’; 
(B) in paragraph (3), by striking at the 
end the period and inserting a semicolon; 
(C) in paragraph (4), by striking at the 
end the period and inserting ‘‘; and’’; 
(D) by striking ‘‘(5) for the purposes of 
this Act,’’ and inserting: 
‘‘For the purposes of this Act, subject to paragraph (5)’’; 
and 
(E) by inserting after paragraph (4) the 
following: 
‘‘(5) for plan years beginning on or after Janu-
ary 1, 2023, in addition to any items or services oth-
erwise described in this subsection— 
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‘‘(A) with respect to an individual who is 
at increased risk of breast cancer (as deter-
mined in accordance with the most recent appli-
cable American College of Radiology Appro-
priateness Criteria or the most recent applicable 
guidelines of the National Comprehensive Can-
cer Network) or with heterogeneously or ex-
tremely dense breast tissue (as defined by the 
Breast Imaging Reporting and Data System es-
tablished by the American College of Radi-
ology), screening and diagnostic imaging (with 
no limitation applied on frequency) for the de-
tection of breast cancer, including 2D or 3D 
mammograms, breast ultrasounds, breast mag-
netic resonance imaging, or other technologies 
(as determined in accordance with such applica-
ble criteria or guidelines); and 
‘‘(B) with respect to an individual who is 
not described in subparagraph (A) and who is 
determined by a health care provider (in ac-
cordance with such most recent applicable cri-
teria or guidelines) to require screening or diag-
nostic breast imaging by reason of factors, in-
cluding age, race, ethnicity, or personal or fam-
ily medical history, screening and diagnostic im-
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aging (with no limitation applied on frequency) 
for the detection of breast cancer, including 2D 
or 3D mammograms, breast ultrasounds, breast 
magnetic resonance imaging, or other tech-
nologies (as determined in accordance with such 
applicable criteria or guidelines).’’. 
(2) 
APPLICATION
TO
GRANDFATHERED 
PLANS.—Notwithstanding section 1251 of the Pa-
tient Protection and Affordable Care Act, the provi-
sions of paragraph (5) of section 2713(a) of the 
Public Health Service Act, as added by paragraph 
(1)(E), shall apply to grandfathered health plans de-
scribed in such section 1251 for plan years begin-
ning on or after January 1, 2023. 
(b) COVERAGE UNDER MEDICARE.— 
(1) IN GENERAL.—Section 1861(ddd)(1)(B) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395x(ddd)(1)(B)) is amended— 
(A) by striking ‘‘(B) recommended’’ and 
inserting ‘‘(B)(i) recommended’’; 
(B) by striking ‘‘Task Force; and’’ and in-
serting ‘‘Task Force; or’’; and 
(C) by adding at the end the following new 
clause: 
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