I 119THCONGRESS 1 STSESSION H. R. 1406 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 FEBRUARY18, 2025 Mr. B UCHANAN(for himself, Mr. KENNEDYof New York, Mr. GRIFFITH, Mr. L AHOOD, Mr. SOTO, and Ms. WASSERMANSCHULTZ) 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 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-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Lung Cancer Screen-4 ing and Prevention Act of 2025’’. 5 VerDate Sep 11 2014 01:19 Mar 12, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1406.IH H1406 ssavage on LAPJG3WLY3PROD with BILLS 2 •HR 1406 IH SEC. 2. AUTHORITY TO EXPAND COVERAGE OF TESTS FOR 1 LUNG CANCER SCREENING UNDER THE 2 MEDICARE PROGRAM. 3 (a) I NGENERAL.—Section 1834(n) of the Social Se-4 curity Act (42 U.S.C. 1395m(n)) is amended— 5 (1) by redesignating subparagraphs (A) and 6 (B) of paragraph (1) as clauses (i) and (ii), respec-7 tively, with appropriate indentation; 8 (2) by redesignating paragraphs (1) and (2) as 9 subparagraphs (A) and (B), respectively, with appro-10 priate indentation; 11 (3) by striking ‘‘Notwithstanding any other pro-12 vision of this title’’ and inserting: 13 ‘‘(1) I N GENERAL.—Notwithstanding any other 14 provision of this title and subject to paragraph (2)’’; 15 and 16 (4) by adding at the end the following new 17 paragraph: 18 ‘‘(2) A UTHORITY TO COVER NEW LUNG CANCER 19 SCREENING TESTS AS PREVENTIVE SERVICES .— 20 ‘‘(A) I N GENERAL.—Notwithstanding para-21 graph (1), in addition to preventive services 22 consisting of screening tests for the early detec-23 tion of lung cancer covered under this part pur-24 suant to national coverage determination 25 210.14, the Secretary may provide for coverage 26 VerDate Sep 11 2014 01:19 Mar 12, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1406.IH H1406 ssavage on LAPJG3WLY3PROD with BILLS 3 •HR 1406 IH under this part of other lung cancer screening 1 tests that are cleared or approved by the Food 2 and Drug Administration as preventive services 3 when furnished to appropriate individuals (as 4 determined by the Secretary), with such fre-5 quency and payment limits as the Secretary de-6 termines appropriate in consultation with ap-7 propriate organizations. 8 ‘‘(B) U SE OF NATIONAL COVERAGE DE -9 TERMINATION PROCESS .— 10 ‘‘(i) I N GENERAL.—Coverage of other 11 lung cancer screening tests under subpara-12 graph (A) shall be determined using the 13 process for making national coverage de-14 terminations (as defined in section 15 1869(f)(1)(B)), except that there shall be 16 no requirement for a determination under 17 section 1861(ddd)(3)(B) with respect to 18 such test under such process. 19 ‘‘(ii) R ULE OF CONSTRUCTION .— 20 Nothing in clause (i) shall be construed as 21 preventing the Secretary from considering 22 recommendations made by entities with ex-23 pertise in preventive services, including en-24 tities convened by the Secretary or the Di-25 VerDate Sep 11 2014 01:19 Mar 12, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1406.IH H1406 ssavage on LAPJG3WLY3PROD with BILLS 4 •HR 1406 IH rector of the Agency for Healthcare Re-1 search and Quality, with respect to other 2 lung cancer screening tests described in 3 subparagraph (A).’’. 4 (b) E FFECTIVEDATE.—The amendments made by 5 subsection (a) shall take effect on the date of the enact-6 ment of this Act, and apply with respect to coverage of 7 preventive services under Part B of title XVIII of the So-8 cial Security Act (42 U.S.C. 1395j et seq.) on or after 9 such date. 10 Æ VerDate Sep 11 2014 01:19 Mar 12, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6301 E:\BILLS\H1406.IH H1406 ssavage on LAPJG3WLY3PROD with BILLS