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HR 1406119th CongressIn Committee

Lung Cancer Screening and Prevention Act of 2025

Introduced: Feb 18, 2025
Standard Summary
Comprehensive overview in 1-2 paragraphs

The Lung Cancer Screening and Prevention Act of 2025 would expand Medicare coverage to include additional lung cancer screening tests beyond the current standard LDCT (low-dose computed tomography) screening. Specifically, it allows the Secretary of Health and Human Services to cover other screening tests for lung cancer that are FDA-cleared or FDA-approved as preventive services when used for appropriate individuals, with coverage frequency and payment limits set through consultation with relevant organizations. The decision on whether to cover these new tests would follow the national coverage determination process, but without the separate requirement tied to a specific 1861(ddd)(3)(B) determination. The bill also permits consideration of recommendations from preventive-services experts and entities convened by the Secretary or the Agency for Healthcare Research and Quality (AHRQ). The changes would take effect on enactment and apply to Part B preventive-services coverage from that date forward. In short, the bill modernizes and broadens Medicare’s preventive-screening toolkit for lung cancer by authorizing FDA-cleared/approved tests beyond the current program, while using established CMS processes and expert guidance to guide coverage and reimbursement decisions.

Key Points

  • 1Expands Medicare coverage to include other FDA-cleared or FDA-approved lung cancer screening tests as preventive services, beyond the existing LDCT coverage.
  • 2Coverage decisions for these new tests would be made by the Secretary using the standard national coverage determination process, with no requirement for a separate 1861(ddd)(3)(B) determination.
  • 3The Secretary would determine appropriate frequency and payment limits for these tests in consultation with relevant organizations.
  • 4The bill allows the Secretary to consider recommendations from preventive-services experts and AHRQ-convened entities in deciding about these tests.
  • 5Effective upon enactment, with applicability to Medicare Part B preventive services on or after the date of enactment.

Impact Areas

Primary group/area affected: Medicare beneficiaries eligible for preventive lung cancer screening (older adults or others meeting risk criteria as determined by the Secretary).Secondary group/area affected: healthcare providers and facilities performing lung cancer screening; manufacturers and developers of FDA-cleared/approved screening tests; CMS and the wider Medicare program (administration and payment policies).Additional impacts: potential changes in Medicare budgeting and cost, shifts in screening practice patterns, and considerations of access and equity in screening availability, guided by expert recommendations and the NCD process.
Generated by gpt-5-nano on Nov 19, 2025