I 
118TH CONGRESS 
2D SESSION 
H. R. 9417 
To amend titles XVIII and XIX of the Social Security Act and title XXVII 
of the Public Health Service Act to provide no-cost coverage for annual 
screening mammography beginning at 30 years of age. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 27, 2024 
Mr. LAWLER (for himself and Mr. WILLIAMS of New York) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend titles XVIII and XIX of the Social Security Act 
and title XXVII of the Public Health Service Act to 
provide no-cost coverage for annual screening mammog-
raphy beginning at 30 years of age. 
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 ‘‘Early Access to 
Screening Act’’. 
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SEC. 2. NO-COST COVERAGE OF ANNUAL SCREENING MAM-
MOGRAPHY BEGINNING AT 30 YEARS OF AGE. 
(a) COVERAGE UNDER MEDICARE.— 
(1) IN GENERAL.—Section 1834(c) of the So-
cial Security Act (42 U.S.C. 1395m(c)) is amend-
ed— 
(A) in paragraph (1)(A), by inserting ‘‘or 
(3)’’ after ‘‘paragraph (2)’’; 
(B) in paragraph (2)— 
(i) by striking the paragraph heading 
and inserting ‘‘FREQUENCY COVERED BE-
FORE JANUARY 1, 2025’’; and 
(ii) in subparagraph (A), by striking 
‘‘Subject’’ and inserting ‘‘With respect to 
screening mammography performed before 
January 1, 2025, subject’’; and 
(C) by adding at the end the following new 
paragraph: 
‘‘(3) FREQUENCY COVERED ON OR AFTER JAN-
UARY 1, 2025.—With respect to screening mammog-
raphy performed on or after January 1, 2025— 
‘‘(A) no payment may be made under this 
part for screening mammography performed on 
a woman under 30 years of age; and 
‘‘(B) in the case of a woman over 29 years 
of age, payment may not be made under this 
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part for screening mammography performed 
within 11 months following the month in which 
a previous screening mammography was per-
formed.’’. 
(2) PROHIBITION OF COST SHARING.—Section 
1833(a)(1) of the Social Security Act (42 U.S.C. 
1395l(a)(1)) is amended— 
(A) in subparagraph (Y), by inserting after 
‘‘in the case of such services described in sub-
paragraph (A)’’ the following: ‘‘(other than 
screening mammography (as defined in section 
1861(jj)) performed on or after January 1, 
2025)’’; 
(B) in subparagraph (GG), by striking 
‘‘and’’ at the end; and 
(C) by inserting before the semicolon at 
the end the following: ‘‘, and (II) with respect 
to screening mammography (as defined in sec-
tion 1861(jj)) performed on or after January 1, 
2025, the amounts paid shall be shall be 100 
percent of the lesser of the actual charge for 
the services or the amount determined under 
the fee schedule that applies to such services 
under this part’’. 
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(3) 
CONFORMING
AMENDMENT.—Section 
1862(a)(1)(F) is amended by striking ‘‘section 
1834(c)(2)’’ and inserting ‘‘section 1834(c)’’. 
(b) COVERAGE UNDER MEDICAID.— 
(1) MANDATORY COVERAGE.— 
(A) IN GENERAL.—Section 1902(a)(10)(A) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396a(a)(10)(A)) is amended by inserting 
‘‘(13)(D),’’ before ‘‘(17),’’. 
(B) 
MEDICALLY
NEEDY.—Section 
1902(a)(10)(C)(iv) of the Social Security Act 
(42 U.S.C. 1396a(a)(10)(C)(iv)) is amended by 
inserting ‘‘(13)(D),’’ before ‘‘and (17)’’. 
(C) ALTERNATIVE BENEFIT PLANS.—Sec-
tion 1937(b) of the Social Security Act (42 
U.S.C. 1396u–7(b)) is amended by adding at 
the end the following new paragraph: 
‘‘(9) ANNUAL
SCREENING
MAMMOGRAPHY.— 
Notwithstanding the previous provisions of this sec-
tion, a State may not provide for medical assistance 
through enrollment of an individual with benchmark 
coverage or benchmark-equivalent coverage under 
this section unless, beginning on January 1, 2025, 
for any individual over age 29, such coverage in-
cludes (and does not impose any deduction, cost 
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sharing, or similar charge for) annual screening 
mammography 
described 
in 
section 
1905(a)(13)(D).’’. 
(2) INCLUSION
UNDER
DIAGNOSTIC, SCREEN-
ING, 
PREVENTIVE, 
AND
REHABILITATIVE
SERV-
ICES.—Section 1905(a)(13) of the Social Security 
Act (42 U.S.C. 1396d(a)(13)) is amended— 
(A) in subparagraph (B), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (C), by adding ‘‘and’’ 
at the end; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(D) beginning January 1, 2025, for indi-
viduals over age 29, annual screening mammog-
raphy;’’. 
(3) PROHIBITION OF COST SHARING.— 
(A) IN GENERAL.—Section 1916 of the So-
cial Security Act (42 U.S.C. 1396o) is amend-
ed— 
(i) in subsection (a)(2)— 
(I) in subparagraph (I), by strik-
ing ‘‘or’’ at the end; 
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(II) in subparagraph (J), by 
striking ‘‘; and’’ at the end and in-
serting ‘‘, or’’; and 
(III) by adding at the end the 
following new subparagraph: 
‘‘(K) beginning January 1, 2025, annual 
screening mammography described in section 
1905(a)(13)(D); and’’; and 
(ii) in subsection (b)(2)— 
(I) in subparagraph (I), by strik-
ing ‘‘or’’ at the end; 
(II) in subparagraph (J), by 
striking ‘‘; and’’ at the end and in-
serting ‘‘, or’’; and 
(III) by adding at the end the 
following new subparagraph: 
‘‘(K) beginning January 1, 2025, annual 
screening mammography described in section 
1905(a)(13)(D); and’’. 
(B) APPLICATION TO ALTERNATIVE COST 
SHARING.—Section 1916A(b)(3)(B) of the So-
cial Security Act (42 U.S.C. 1396o–1(b)(3)(B)) 
is amended by adding at the end the following 
new clause: 
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‘‘(xv) Beginning January 1, 2025, an-
nual screening mammography described in 
section 1905(a)(13)(D).’’. 
(c) COVERAGE UNDER GROUP HEALTH PLANS AND 
GROUP AND INDIVIDUAL HEALTH INSURANCE.— 
(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 ‘‘; and’’; and 
(C) in paragraph (4)— 
(i) by striking at the end the period 
and inserting ‘‘; and’’; 
(ii) by striking ‘‘women, such’’ and in-
serting ‘‘women— 
‘‘(A) such’’; and 
(iii) by adding at the end the fol-
lowing new subparagraph: 
‘‘(B) in the case of a woman over 29 years 
of age, annual mammography screening.’’. 
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(2) EFFECTIVE DATE.—The amendments made 
by this subsection shall apply to plan years begin-
ning on or after January 1, 2025. 
Æ 
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