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119-hr-8729119th CongressWALLET
No-Cost Breast Examinations in Medicaid Act of 2026
Sponsored By: Representative Landsman, Greg [D-OH-1]
Introduced
Summary
No-cost diagnostic and supplemental breast examinations for Medicaid enrollees. The bill also makes screening mammography rated A or B by the U.S. Preventive Services Task Force (USPSTF) a mandatory Medicaid benefit and ties exam definitions to National Comprehensive Cancer Network (NCCN) guidelines.
Show full summary
- Women and other Medicaid enrollees will have diagnostic mammography, breast MRI, and breast ultrasound covered with no patient cost sharing when those exams are medically necessary to evaluate an abnormality.
- People at higher breast-cancer risk can get supplemental screening with breast MRI or breast ultrasound without cost sharing when it is recommended based on personal or family history or other risk factors.
- Clinicians and imaging centers will rely on NCCN Guidelines for medical-necessity decisions and USPSTF A or B grades to determine which screening mammography services are mandatory.
- State Medicaid programs must treat USPSTF A/B screening mammography as a required benefit and apply these coverage rules to care furnished starting 1 year after enactment.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
No-cost breast exams for Medicaid
If enacted, Medicaid enrollees would get diagnostic and supplemental breast exams with no cost sharing. Screening mammography rated A or B by the U.S. Preventive Services Task Force would become a mandatory Medicaid benefit. The bill would add definitions for diagnostic and supplemental exams using National Comprehensive Cancer Network (NCCN) guidelines and list covered tests like diagnostic mammography, breast MRI, and breast ultrasound. These changes would apply to care furnished one year after the date of enactment.
Sponsors & CoSponsors
Sponsor
Landsman, Greg [D-OH-1]
OH • D
Cosponsors
Rep. Dingell, Debbie [D-MI-6]
MI • D
Sponsored 5/11/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov