H.R. 8729

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8729 Introduced in House (IH)]

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119th CONGRESS
2d Session
H. R. 8729

To amend title XIX of the Social Security Act to require that 
diagnostic and supplemental breast examinations are furnished without 
cost sharing under the Medicaid program, and for other purposes.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

May 11, 2026

Mr. Landsman (for himself and Mrs. Dingell) introduced the following 
bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

A BILL

To amend title XIX of the Social Security Act to require that 
diagnostic and supplemental breast examinations are furnished without 
cost sharing under the Medicaid program, and for other purposes.

Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the ``No-Cost Breast Examinations in 
Medicaid Act of 2026''.

SEC. 2. REQUIRING THAT DIAGNOSTIC AND SUPPLEMENTAL BREAST EXAMINATIONS 
ARE FURNISHED WITHOUT COST SHARING UNDER THE MEDICAID 
PROGRAM.

(a) In General.--
(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 (I), by striking ``or'' at the 
end;
(B) in subparagraph (J), by striking ``; and'' and 
inserting ``, or''; and
(C) by adding at the end the following new 
subparagraph:
``(K) diagnostic breast examinations and 
supplemental breast examinations (as such terms are 
defined in section 1905(ll)); and''.
(2) Application to alternative cost sharing.--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:
``(xv) Diagnostic breast examinations and 
supplemental breast examinations (as such terms 
are defined in section 1905(ll)).''.
(b) Definitions.--Section 1905 of the Social Security Act (42 
U.S.C. 1396d) is amended by adding at the end the following new 
subsection:
``(ll) Definitions Relating to Breast Cancer Examinations.--
``(1) Diagnostic breast examination.--The term `diagnostic 
breast examination' means a medically necessary and appropriate 
(in accordance with National Comprehensive Cancer Network 
Guidelines) examination of the breast (including, but not 
limited to such an examination using diagnostic mammography, 
breast magnetic resonance imaging, or breast ultrasound) that 
is--
``(A) used to evaluate an abnormality seen or 
suspected from a screening examination for breast 
cancer; or
``(B) used to evaluate an abnormality detected by 
another means of examination.
``(2) Supplemental breast examination.--The term 
`supplemental breast examination' means a medically necessary 
and appropriate (in accordance with National Comprehensive 
Cancer Network Guidelines) examination of the breast 
(including, but not limited to such an examination using breast 
magnetic resonance imaging or breast ultrasound) that is--
``(A) used to screen for breast cancer when there 
is no abnormality seen or suspected; and
``(B) furnished based on personal or family medical 
history or additional factors that may increase the 
individual's risk of breast cancer.''.
(c) Inclusion of Screening Mammography as a Mandatory Benefit.--
(1) In general.--Section 1902(a)(10)(A) of the Social 
Security Act (42 U.S.C. 1396a(a)(10)(A)) is amended, in the 
matter preceding clause (i), by inserting ``(13)(D),'' after 
``(13)(B),''.
(2) Medical assistance.--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) screening mammography (as defined in section 
1861(jj)) assigned a grade of A or B by the United 
States Preventive Services Task Force;''.
(d) Effective Date.--The amendments made by this section shall 
apply with respect to medical assistance furnished on or after the date 
that is 1 year after the date of the enactment of this Act.
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