Find It Early Act
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To President
- Became Law
Overview
The Find It Early Act aims to expand access to breast cancer screenings for individuals at higher risk. It mandates that health plans, Medicare, Medicaid, and TRICARE cover additional breast imaging services – including mammograms, ultrasounds, MRIs, and molecular imaging – without requiring cost-sharing for those identified as being at increased risk based on criteria like dense breast tissue or personal/family history. The bill also adjusts coverage requirements for Medicare Advantage plans and expands coverage for veterans meeting specific risk criteria.
Key provisions
- Requires group health plans and health insurance coverage to provide no-cost screening and diagnostic breast imaging for individuals at increased risk of breast cancer.
- Expands Medicare coverage for breast imaging for high-risk individuals and those determined by a healthcare provider to require screening.
- Modifies Medicaid coverage to include no-cost breast screening for individuals at increased risk or with dense breast tissue.
- Extends no-cost TRICARE coverage for breast cancer screening to eligible service members and veterans.
- Updates the American College of Radiology Appropriateness Criteria and National Comprehensive Cancer Network guidelines used for determining screening needs.
- Adjusts the effective date of coverage changes to January 1, 2026.
- Includes provisions for grandfathered health plans and clarifies the application of the bill to existing Medicare Advantage plans.
Who is affected
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Sponsors
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Cosponsors
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