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119-hr-6182119th CongressWALLET

Find It Early Act

Sponsored By: Representative DeLauro, Rosa L. [D-CT-3]

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, Rosa L. [D-CT-3]

CT • D

Cosponsors

  • Rep. Riley, Josh [D-NY-19]

    NY • D

    Sponsored 10/9/2026

  • Rep. Pou, Nellie [D-NJ-9]

    NJ • D

    Sponsored 10/9/2026

  • Rep. Brownley, Julia [D-CA-26]

    CA • D

    Sponsored 10/29/2026

  • Rep. Vargas, Juan [D-CA-52]

    CA • D

    Sponsored 10/22/2026

  • Rep. Lynch, Stephen F. [D-MA-8]

    MA • D

    Sponsored 10/22/2026

  • Rep. Balint, Becca [D-VT-At Large]

    VT • D

    Sponsored 10/22/2026

  • Rep. Clarke, Yvette D. [D-NY-9]

    NY • D

    Sponsored 10/22/2026

  • Rep. Williams, Nikema [D-GA-5]

    GA • D

    Sponsored 10/22/2026

  • Rep. Wilson, Frederica S. [D-FL-24]

    FL • D

    Sponsored 10/22/2026

  • Rep. Fitzpatrick, Brian K. [R-PA-1]

    PA • R

    Sponsored 11/20/2025

  • Rep. Murphy, Gregory F. [R-NC-3]

    NC • R

    Sponsored 11/20/2025

  • Rep. Landsman, Greg [D-OH-1]

    OH • D

    Sponsored 11/20/2025

  • Rep. Beatty, Joyce [D-OH-3]

    OH • D

    Sponsored 11/20/2025

  • Rep. Velázquez, Nydia M. [D-NY-7]

    NY • D

    Sponsored 11/20/2025

  • Rep. Simon, Lateefah [D-CA-12]

    CA • D

    Sponsored 11/20/2025

  • Rep. Doggett, Lloyd [D-TX-37]

    TX • D

    Sponsored 11/20/2025

  • Rep. Quigley, Mike [D-IL-5]

    IL • D

    Sponsored 11/20/2025

  • Rep. Nadler, Jerrold [D-NY-12]

    NY • D

    Sponsored 11/20/2025

  • Rep. Tonko, Paul [D-NY-20]

    NY • D

    Sponsored 11/20/2025

  • Rep. Larson, John B. [D-CT-1]

    CT • D

    Sponsored 11/20/2025

  • Rep. Houlahan, Chrissy [D-PA-6]

    PA • D

    Sponsored 11/20/2025

  • Rep. Schneider, Bradley Scott [D-IL-10]

    IL • D

    Sponsored 11/20/2025

  • Rep. Scholten, Hillary J. [D-MI-3]

    MI • D

    Sponsored 11/20/2025

  • Rep. Sewell, Terri A. [D-AL-7]

    AL • D

    Sponsored 11/20/2025

  • Rep. Casten, Sean [D-IL-6]

    IL • D

    Sponsored 11/20/2025

  • Rep. Chu, Judy [D-CA-28]

    CA • D

    Sponsored 11/20/2025

  • Rep. Bresnahan, Robert P. [R-PA-8]

    PA • R

    Sponsored 11/20/2025

  • Rep. Pocan, Mark [D-WI-2]

    WI • D

    Sponsored 11/20/2025

  • Rep. Schakowsky, Janice D. [D-IL-9]

    IL • D

    Sponsored 11/20/2025

  • Rep. Castor, Kathy [D-FL-14]

    FL • D

    Sponsored 11/20/2025

  • Rep. Goldman, Daniel S. [D-NY-10]

    NY • D

    Sponsored 11/20/2025

  • Rep. Hayes, Jahana [D-CT-5]

    CT • D

    Sponsored 11/20/2025

  • Rep. Matsui, Doris O. [D-CA-7]

    CA • D

    Sponsored 11/20/2025

  • Rep. Jayapal, Pramila [D-WA-7]

    WA • D

    Sponsored 11/20/2025

  • Rep. Lawler, Michael [R-NY-17]

    NY • R

    Sponsored 11/20/2025

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 11/20/2025

  • Rep. Bishop, Sanford D. [D-GA-2]

    GA • D

    Sponsored 11/20/2025

  • Rep. Watson Coleman, Bonnie [D-NJ-12]

    NJ • D

    Sponsored 11/20/2025

  • Rep. Cohen, Steve [D-TN-9]

    TN • D

    Sponsored 11/20/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 11/20/2025

  • Rep. Lee, Summer L. [D-PA-12]

    PA • D

    Sponsored 11/20/2025

  • Rep. Van Duyne, Beth [R-TX-24]

    TX • R

    Sponsored 11/20/2025

  • Rep. Costa, Jim [D-CA-21]

    CA • D

    Sponsored 11/20/2025

  • Rep. Wasserman Schultz, Debbie [D-FL-25]

    FL • D

    Sponsored 11/20/2025

  • Rep. McClain Delaney, April [D-MD-6]

    MD • D

    Sponsored 11/20/2025

  • Rep. Stevens, Haley M. [D-MI-11]

    MI • D

    Sponsored 11/20/2025

  • Rep. Himes, James A. [D-CT-4]

    CT • D

    Sponsored 11/20/2025

  • Rep. Thanedar, Shri [D-MI-13]

    MI • D

    Sponsored 11/20/2025

  • Rep. Trahan, Lori [D-MA-3]

    MA • D

    Sponsored 11/20/2025

  • Rep. Deluzio, Christopher R. [D-PA-17]

    PA • D

    Sponsored 11/20/2025

  • Rep. Ansari, Yassamin [D-AZ-3]

    AZ • D

    Sponsored 12/3/2025

  • Rep. Waters, Maxine [D-CA-43]

    CA • D

    Sponsored 12/4/2025

  • Rep. McBride, Sarah [D-DE-At Large]

    DE • D

    Sponsored 12/9/2025

  • Rep. Escobar, Veronica [D-TX-16]

    TX • D

    Sponsored 12/16/2025

  • Rep. Malliotakis, Nicole [R-NY-11]

    NY • R

    Sponsored 1/6/2026

  • Rep. Soto, Darren [D-FL-9]

    FL • D

    Sponsored 1/20/2026

  • Rep. Suozzi, Thomas R. [D-NY-3]

    NY • D

    Sponsored 2/10/2026

  • Rep. Swalwell, Eric [D-CA-14]

    CA • D

    Sponsored 2/10/2026

  • Rep. Ivey, Glenn [D-MD-4]

    MD • D

    Sponsored 3/4/2026

  • Rep. Kennedy, Timothy M. [D-NY-26]

    NY • D

    Sponsored 3/24/2026

  • Rep. Davids, Sharice [D-KS-3]

    KS • D

    Sponsored 3/24/2026

  • Rep. Adams, Alma S. [D-NC-12]

    NC • D

    Sponsored 4/16/2026

  • Rep. Barragán, Nanette Diaz [D-CA-44]

    CA • D

    Sponsored 4/16/2026

  • Rep. Bonamici, Suzanne [D-OR-1]

    OR • D

    Sponsored 4/16/2026

  • Rep. Miller, Carol D. [R-WV-1]

    WV • R

    Sponsored 4/22/2026

  • Rep. Ross, Deborah K. [D-NC-2]

    NC • D

    Sponsored 4/27/2026

  • Rep. Krishnamoorthi, Raja [D-IL-8]

    IL • D

    Sponsored 4/27/2026

  • Rep. Morelle, Joseph D. [D-NY-25]

    NY • D

    Sponsored 4/27/2026

  • Rep. Leger Fernandez, Teresa [D-NM-3]

    NM • D

    Sponsored 4/29/2026

  • Rep. Moore, Gwen [D-WI-4]

    WI • D

    Sponsored 5/11/2026

  • Rep. Meng, Grace [D-NY-6]

    NY • D

    Sponsored 5/11/2026

  • Rep. Carbajal, Salud O. [D-CA-24]

    CA • D

    Sponsored 5/11/2026

  • Rep. Pingree, Chellie [D-ME-1]

    ME • D

    Sponsored 5/11/2026

  • Rep. Panetta, Jimmy [D-CA-19]

    CA • D

    Sponsored 5/11/2026

  • Rep. McGovern, James P. [D-MA-2]

    MA • D

    Sponsored 5/11/2026

  • Rep. Gomez, Jimmy [D-CA-34]

    CA • D

    Sponsored 5/19/2026

  • Rep. Raskin, Jamie [D-MD-8]

    MD • D

    Sponsored 5/19/2026

  • Rep. Lieu, Ted [D-CA-36]

    CA • D

    Sponsored 5/20/2026

  • Rep. Van Drew, Jefferson [R-NJ-2]

    NJ • R

    Sponsored 6/23/2026

  • Rep. LaLota, Nick [R-NY-1]

    NY • R

    Sponsored 6/25/2026

  • Rep. Courtney, Joe [D-CT-2]

    CT • D

    Sponsored 8/31/2026

  • Rep. Whitesides, George [D-CA-27]

    CA • D

    Sponsored 8/31/2026

  • Rep. Edwards, Chuck [R-NC-11]

    NC • R

    Sponsored 8/31/2026

Roll Call Votes

No roll call votes available for this bill.

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