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II
117TH CONGRESS
1ST SESSION
S. 1966
To amend title XXVII of the Public Health Service Act to expand the
availability of coverage for lung cancer screenings without the imposition
of cost sharing.
IN THE SENATE OF THE UNITED STATES
JUNE 8, 2021
Ms. SMITH introduced the following bill; which was read twice and referred
to the Committee on Health, Education, Labor, and Pensions
A BILL
To amend title XXVII of the Public Health Service Act
to expand the availability of coverage for lung cancer
screenings without the imposition of cost sharing.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Katherine’s Lung Can-
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cer Early Detection and Survival Act of 2021’’.
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SEC. 2. FINDINGS.
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Congress finds the following:
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(1) Lung cancer is the number 1 killer of all
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cancers.
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(2) Lung cancer causes more deaths than pros-
1
tate cancer, breast cancer, and colorectal cancer
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combined.
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(3) The reason for the extremely low 5-year
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survival rate in lung cancer patients is the difficulty
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to find it at early stages (as patients have no symp-
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toms at early stages).
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(4) For all stages of lung cancer, the overall 5-
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year survival rate is 19 percent, while such rate is
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98 percent for prostate cancer and 90 percent for
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breast cancer.
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(5) Early detection of lung cancer through
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screening could dramatically increase survival rates
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for patients.
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SEC.
3.
REQUIRING
COVERAGE
OF
LUNG
CANCER
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SCREENINGS
FOR
CERTAIN
INDIVIDUALS
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WITHOUT COST SHARING.
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(a) IN GENERAL.—Section 2713 of the Public Health
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Service Act (42 U.S.C. 300gg–13) is amended—
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(1) in subsection (a)—
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(A) in paragraph (2), by striking ‘‘and’’ at
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the end;
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(B) in paragraph (3), by striking the pe-
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riod at the end and inserting a semicolon;
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(C) in paragraph (4), by striking the pe-
1
riod at the end and inserting ‘‘; and’’;
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(D) by redesignating paragraph (5) as
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paragraph (6); and
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(E) by inserting after paragraph (4) the
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following new paragraph:
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‘‘(5) lung cancer screenings, with respect to any
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individual who has a very high risk of lung cancer
8
due to genetic, occupational, or other exposures and
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who has a referral from a specialist, such as a pul-
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monary medicine physician, who can explain the ben-
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efits and harms of the screening to the individual,
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including determination of lung cancer risk; and’’;
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and
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(2) by adding at the end the following:
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‘‘(d) SPECIAL RULE FOR CERTAIN LUNG CANCER
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SCREENINGS.—In the case of a lung cancer screening that
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would be a service described in subsection (a)(1) but for
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the fact that the individual receiving the screening stopped
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smoking more than 15 years prior to the date of the
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screening or is 80 years of age or older as of such date,
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such screening shall be deemed to be a service described
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in such subsection.’’.
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(b) EFFECTIVE DATE.—The amendments made by
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subsection (a) shall apply with respect to plan years begin-
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ning on or after January 1, 2022.
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Æ
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