SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Increasing Access to 
Lung Cancer Screening Act’’. 
SEC. 2. MEDICAID COVERAGE OF ANNUAL LUNG CANCER 
SCREENING WITH NO COST SHARING FOR IN-
DIVIDUALS FOR WHOM SCREENING IS REC-
OMMENDED BY U.S. PREVENTIVE SERVICES 
TASK FORCE GUIDELINES. 
(a) IN GENERAL.—Section 1905(a)(4) of the Social 
Security Act (42 U.S.C. 1396d(a)(4)) is amended— 
(1) by striking ‘‘and’’ before ‘‘(F)’’; and 
(2) by inserting before the semicolon at the end 
the following: ‘‘; and (G) an annual lung cancer 
screening for individuals who are eligible under the 
plan and for whom screening is recommended by the 
U.S. Preventive Services Task Force guidelines, 
without regard to prior authorization’’. 
(b) NO COST SHARING.— 
(1) IN
GENERAL.—Subsections (a)(2) and 
(b)(2) of section 1916 of the Social Security Act (42 
U.S.C. 1396o) are each amended— 
(A) in subparagraph (G), by adding at the 
end ‘‘, or’’; and 
(B) by adding at the end the following new 
subparagraph: 
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‘‘(H) lung cancer screening for which pay-
ment may be made under the State plan pursu-
ant section to 1905(a)(4)(G);’’. 
(2) APPLICATION TO ALTERNATIVE COST SHAR-
ING.—Section 1916A(b)(3)(B) of the Social Security 
Act (42 U.S.C. 1396o–1(b)(3)(B)) is amended by 
adding at the end the following new clause: 
‘‘(xiv) Lung cancer screening for 
which payment may be made under the 
State 
plan 
pursuant 
to 
section 
1905(a)(4)(G).’’. 
(c) APPLICATION TO MEDICAID MANAGED CARE OR-
GANIZATIONS.—Section 1932(b) of the Social Security Act 
(42 U.S.C. 1396u–2(b)) is amended by adding at the end 
the following new paragraph: 
‘‘(9) LUNG
CANCER
SCREENING.—Each con-
tract with a medicaid managed care organization 
under section 1903(m) shall require the organization 
to provide coverage for lung cancer screening for 
which payment may be made under the State plan 
pursuant to section 1905(a)(4)(G) without regard to 
prior authorization.’’. 
(d) EFFECTIVE DATE.— 
(1) IN GENERAL.—Subject to paragraph (2), 
the amendments made by this section shall apply 
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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-
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. 
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SEC. 3. EXPANDING COVERAGE UNDER MEDICAID OF 
COUNSELING AND PHARMACOTHERAPY FOR 
CESSATION OF TOBACCO USE TO ALL MED-
ICAID INDIVIDUALS. 
(a) IN GENERAL.—Section 1905 of the Social Secu-
rity Act (42 U.S.C. 1396d) is amended— 
(1) in subsection (a)(4)(D)— 
(A) by striking ‘‘by pregnant women’’; and 
(B) by inserting ‘‘without regard to prior 
authorization’’ after ‘‘(as defined in subsection 
(bb))’’; and 
(2) in subsection (bb)— 
(A) in paragraph (1)— 
(i) by striking the first place it ap-
pears ‘‘by pregnant women’’; and 
(ii) by striking ‘‘by pregnant women 
who’’ and inserting ‘‘by individuals who’’; 
(B) in paragraph (2)(A), by striking ‘‘with 
respect to pregnant women’’; and 
(C) in paragraph (2)(B), by striking ‘‘by 
pregnant women’’. 
(b) CONFORMING AMENDMENTS.— 
(1) Section 1927(d)(2)(F) of the Social Secu-
rity Act (42 U.S.C. 1396r–8(d)(2)(F)) is amended 
by striking ‘‘, in the case of pregnant women’’. 
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(2) Section 1916 of the Social Security Act (42 
U.S.C. 1396o), as amended by section 1, is further 
amended— 
(A) in each of subsections (a)(2) and 
(b)(2)— 
(i) in subparagraph (B), by striking ‘‘, 
and counseling and pharmacotherapy for 
cessation of tobacco use by pregnant 
women (as defined in section 1905(bb)) 
and covered outpatient drugs (as defined 
in subsection (k)(2) of section 1927 and 
including nonprescription drugs described 
in subsection (d)(2) of such section) that 
are prescribed for purposes of promoting, 
and when used to promote, tobacco ces-
sation by pregnant women in accordance 
with the Guideline referred to in section 
1905(bb)(2)(A)’’; 
(ii) in subparagraph (H), at the end 
by adding ‘‘or’’; and 
(iii) by adding at the end the fol-
lowing new subparagraph: 
‘‘(I) counseling and pharmacotherapy for 
cessation of tobacco use (as defined in section 
1905(bb)) and covered outpatient drugs (as de-
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fined in subsection (k)(2) of section 1927 and 
including nonprescription drugs described in 
subsection (d)(2) of such section) that are pre-
scribed for purposes of promoting, and when 
used to promote, tobacco cessation in accord-
ance with the Guideline referred to in section 
1905(bb)(2)(A); and’’. 
(3) Section 1916A(b)(3)(B) of such Act (42 
U.S.C. 1396o–1(b)(3)(B)), as amended by section 1, 
is further amended— 
(A) in clause (iii), by striking ‘‘, and coun-
seling and pharmacotherapy for cessation of to-
bacco use by pregnant women (as defined in 
section 1905(bb))’’; and 
(B) by adding at the end the following new 
clause: 
‘‘(xv) 
Counseling 
and 
pharmacotherapy for cessation of tobacco 
use (as defined in section 1905(bb)).’’. 
(c) APPLICATION TO MEDICAID MANAGED CARE OR-
GANIZATIONS.—Section 1932(b) of the Social Security Act 
(42 U.S.C. 1396u–2(b)), as amended by section 1, is fur-
ther amended by adding at the end the following new para-
graph: 
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