Find It Early Act
Sponsored By: Representative DeLauro
In Committee
Summary
This bill would require comprehensive, no cost-sharing coverage for breast cancer screening and diagnostic imaging across federal programs and private group and individual health plans. It ties eligibility and frequency to current National Comprehensive Cancer Network and American College of Radiology guidance and phases in for plan years beginning on or after January 1, 2026.
Show full summary
- People at increased risk and those with heterogeneously or extremely dense breasts would get covered imaging with no copays. Covered tests include, for example, 2D and 3D mammography, breast ultrasound, breast MRI, molecular breast imaging, and contrast-enhanced mammography.
- Medicare and Medicare Advantage plans would cover the same services without cost sharing, with frequency limits set by NCCN/ACR guidance.
- Medicaid would expand coverage to these groups and may delay state-plan changes until the first calendar quarter after the close of the state legislature’s next regular session. TRICARE, Department of Defense health programs, and the VA would also provide these imaging services without copayments, and VA eligibility applies regardless of annual enrollment status.
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 4 benefits, 0 costs, 0 mixed.
Free breast imaging for Medicaid
If enacted, Medicaid would be required to cover breast screening and diagnostic imaging with no cost-sharing for people at increased risk or with heterogeneously or extremely dense breasts, and for people a clinician says need imaging. Covered tests would include 2D or 3D mammograms, breast ultrasound, breast MRI, molecular breast imaging, and contrast-enhanced mammography. Imaging could not be done more often than NCCN and ACR guidance recommends. States that need a law change to their state plan could delay compliance until the first calendar quarter after their next regular legislative session ends.
Free breast imaging for Medicare
If enacted, Medicare would cover screening and diagnostic breast imaging with no cost-sharing for people at increased risk or with heterogeneously or extremely dense breasts, and for people a clinician says need imaging. Covered tests would include mammograms, breast ultrasound, breast MRI, molecular breast imaging, and contrast-enhanced mammography. Imaging frequency would follow NCCN and ACR guidance. Medicare Advantage plans would treat these services as no-cost-sharing starting January 1, 2026 when the statutory conditions apply.
Free breast imaging in private plans
If enacted, group and individual private health plans would have to cover breast cancer screening and diagnostic imaging with no copays, coinsurance, or deductibles. This would apply to people at increased risk, people with heterogeneously or extremely dense breasts, and people a clinician says need imaging. Covered tests would include 2D and 3D mammograms, breast ultrasound, breast MRI, molecular breast imaging, and contrast-enhanced mammography. Plans would follow the most recent NCCN and ACR guidance on who qualifies and how often imaging can be done, and the rule would apply for plan years beginning January 1, 2026.
VA cannot charge for breast imaging
If enacted, the Department of Veterans Affairs could not require any veteran described by the bill to pay a copayment or any other charge for covered breast screening or diagnostic imaging. Eligibility and frequency would follow NCCN and ACR guidance and BI-RADS breast-density categories. Covered tests would include mammograms, breast ultrasound, and breast MRI. This VA prohibition on copayments would be effective January 1, 2026.
Sponsors & CoSponsors
Sponsor
DeLauro
CT • D
Cosponsors
Fitzpatrick
PA • R
Sponsored 11/20/2025
Murphy
NC • R
Sponsored 11/20/2025
Landsman
OH • D
Sponsored 11/20/2025
Beatty
OH • D
Sponsored 11/20/2025
Velazquez
NY • D
Sponsored 11/20/2025
Simon
CA • D
Sponsored 11/20/2025
Doggett
TX • D
Sponsored 11/20/2025
Quigley
IL • D
Sponsored 11/20/2025
Nadler
NY • D
Sponsored 11/20/2025
Tonko
NY • D
Sponsored 11/20/2025
Larson (CT)
CT • D
Sponsored 11/20/2025
Houlahan
PA • D
Sponsored 11/20/2025
Schneider
IL • D
Sponsored 11/20/2025
Scholten
MI • D
Sponsored 11/20/2025
Sewell
AL • D
Sponsored 11/20/2025
Casten
IL • D
Sponsored 11/20/2025
Chu
CA • D
Sponsored 11/20/2025
Bresnahan
PA • R
Sponsored 11/20/2025
Pocan
WI • D
Sponsored 11/20/2025
Schakowsky
IL • D
Sponsored 11/20/2025
Castor (FL)
FL • D
Sponsored 11/20/2025
Goldman (NY)
NY • D
Sponsored 11/20/2025
Hayes
CT • D
Sponsored 11/20/2025
Matsui
CA • D
Sponsored 11/20/2025
Jayapal
WA • D
Sponsored 11/20/2025
Lawler
NY • R
Sponsored 11/20/2025
Gottheimer
NJ • D
Sponsored 11/20/2025
Bishop
GA • D
Sponsored 11/20/2025
Watson Coleman
NJ • D
Sponsored 11/20/2025
Cohen
TN • D
Sponsored 11/20/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 11/20/2025
Lee (PA)
PA • D
Sponsored 11/20/2025
Van Duyne
TX • R
Sponsored 11/20/2025
Costa
CA • D
Sponsored 11/20/2025
Wasserman Schultz
FL • D
Sponsored 11/20/2025
McClain Delaney
MD • D
Sponsored 11/20/2025
Stevens
MI • D
Sponsored 11/20/2025
Himes
CT • D
Sponsored 11/20/2025
Thanedar
MI • D
Sponsored 11/20/2025
Trahan
MA • D
Sponsored 11/20/2025
Deluzio
PA • D
Sponsored 11/20/2025
Ansari
AZ • D
Sponsored 12/3/2025
Waters
CA • D
Sponsored 12/4/2025
McBride
DE • D
Sponsored 12/9/2025
Escobar
TX • D
Sponsored 12/16/2025
Malliotakis
NY • R
Sponsored 1/6/2026
Soto
FL • D
Sponsored 1/20/2026
Suozzi
NY • D
Sponsored 2/10/2026
Swalwell
CA • D
Sponsored 2/10/2026
Ivey
MD • D
Sponsored 3/4/2026
Kennedy (NY)
NY • D
Sponsored 3/24/2026
Davids (KS)
KS • D
Sponsored 3/24/2026
Roll Call Votes
No roll call votes available for this bill.
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