Overview

Title

To amend title XXVII of the Public Health Service Act to require group health plans and health insurance issuers offering group or individual health insurance coverage to provide benefits for lung cancer screenings for certain individuals without the imposition of cost sharing.

ELI5 AI

H.R. 10202 says that people who are 40 years old or older can get tested for lung cancer for free, even if they haven't smoked, to help find the cancer early and keep people healthier. This would start happening in 2026, but it doesn't yet say how to pay for all the tests.

Summary AI

H.R. 10202, also known as the "Katherine’s Lung Cancer Early Detection and Survival Act of 2024," aims to change the Public Health Service Act. It requires health insurance plans to cover lung cancer screenings without any cost to individuals aged 40 or older, regardless of their smoking history. This bill seeks to improve early detection and survival rates for lung cancer by providing screenings at an earlier age. The changes would take effect starting in 2026.

Published

2024-11-21
Congress: 118
Session: 2
Chamber: HOUSE
Status: Introduced in House
Date: 2024-11-21
Package ID: BILLS-118hr10202ih

Bill Statistics

Size

Sections:
3
Words:
730
Pages:
4
Sentences:
8

Language

Nouns: 241
Verbs: 48
Adjectives: 29
Adverbs: 8
Numbers: 43
Entities: 47

Complexity

Average Token Length:
4.14
Average Sentence Length:
91.25
Token Entropy:
4.88
Readability (ARI):
47.18

AnalysisAI

The proposed bill, "Katherine's Lung Cancer Early Detection and Survival Act of 2024," aims to amend the Public Health Service Act to require group health plans and insurance providers to cover lung cancer screenings for individuals aged 40 and older without imposing any cost-sharing requirements. This legislative initiative seeks to improve early diagnosis and increase survival rates for lung cancer, a leading cause of cancer-related deaths.

General Summary of the Bill

The bill primarily focuses on making lung cancer screenings accessible and free of charge for certain age groups, starting from 40 years old, irrespective of their smoking history. It recognizes the current gap in early detection efforts for lung cancer compared to other cancers like breast and prostate cancer, and addresses this by altering existing screening recommendations under healthcare coverage plans. The bill additionally references updates to breast cancer screening guidelines by the United States Preventive Service Task Force, which could affect other health policies as well.

Summary of Significant Issues

One major issue highlighted in the bill is the change in screening age requirements for lung cancer. By proposing screenings start at 40, without considering factors like smoking history, there is some ambiguity regarding implementation and standardization of this new rule. Moreover, the legislation does not address the financial implications or how the new screenings would be funded, potentially leading to expenses that either fall on healthcare providers or translate into higher insurance premiums.

Additionally, the bill includes a complex amendment process with legal language that might be difficult for the public and even stakeholders to decipher without careful breakdown. The exclusion of certain Task Force recommendations from 2009 adds another layer of complexity, potentially resulting in inconsistencies in how these guidelines are applied.

Broad Public Impact

If implemented, this bill could significantly transform how lung cancer is detected and treated across the United States. By enabling earlier and free screening, individuals at risk have a better chance of detecting lung cancer in its initial stages, which could lead to better treatment outcomes and higher survival rates.

Yet, without clear funding guidelines, this well-intentioned policy could inadvertently strain public and private healthcare resources, risking increased costs for policyholders or cuts in other medical services. Thus, though the bill bids for equity in healthcare access, the practical fiscal conditions necessary for its execution remain an area of concern.

Impact on Specific Stakeholders

Patients and the General Public: Individuals at risk for lung cancer, especially those without a significant smoking history, stand to benefit from this bill economically and health-wise, as they can access free screenings earlier, improving early detection prospects.

Insurers and Healthcare Providers: These entities might face new financial and operational demands as they adapt to incorporate these screenings into existing coverage structures. Without explicit funding or reimbursement instructions, insurers might resist implementing changes or shift costs to consumers.

Policy Analysts and Health Lobbyists: These groups will have to navigate the complex legislative text and its implications on health policy, potentially advocating for more detailed provisions or clarifications to ensure consistent and fair implementation.

Overall, "Katherine's Lung Cancer Early Detection and Survival Act of 2024" shows promise in addressing a critical public health issue. However, it requires more comprehensive planning and clarity to ensure that its implementation does not lead to unintended financial consequences for stakeholders or disparities in healthcare delivery.

Issues

  • The amendment changes the lung cancer screening age to 40 without considering smoking history, which may lead to varying interpretations and implementations due to the lack of additional guidelines or criteria. (Section 3.)

  • There is no provision for the financial implications or budget allocation for the lung cancer screenings, which may raise concerns about potential unfunded mandates or financial burdens on health insurance providers or individuals. (Sections 2 and 3.)

  • The specified exclusion of the United States Preventive Services Task Force recommendations from November 2009 could lead to confusion and inconsistency in the application of the policy due to the lack of clarity on what constitutes 'current recommendations.' (Section 3.)

  • The bill contains complex legal language regarding the amendment of the Public Health Service Act, which may be difficult for readers to follow and could complicate implementation. (Section 3.)

  • The bill's short title, "Katherine’s Lung Cancer Early Detection and Survival Act of 2024," implies a personal reference that could suggest favoritism unless 'Katherine' is a widely recognized figure relevant to the act's purpose. (Section 1.)

  • The findings do not specify the exact cost implications of changing the screening age for lung cancer or whether additional funding would be required, leading to potential budgetary uncertainty. (Section 2.)

Sections

Sections are presented as they are annotated in the original legislative text. Any missing headers, numbers, or non-consecutive order is due to the original text.

1. Short title Read Opens in new tab

Summary AI

The act mentioned in this section is officially called the "Katherine’s Lung Cancer Early Detection and Survival Act of 2024".

2. Findings Read Opens in new tab

Summary AI

Congress identifies that lung cancer is the deadliest cancer and is often not diagnosed early due to a lack of symptoms, resulting in a low survival rate. The bill aims to increase survival rates by suggesting that lung cancer screenings should start at age 40 without cost-sharing, which currently applies to other cancers like breast and prostate cancer, with the hope of saving lives and reducing costs.

3. Requiring coverage of lung cancer screenings for certain individuals without cost sharing Read Opens in new tab

Summary AI

The bill proposes an amendment to the Public Health Service Act that mandates free lung cancer screenings for anyone aged 40 and older, regardless of their smoking history, starting with health plans that begin on or after January 1, 2026. Additionally, it clarifies that the United States Preventive Service Task Force's current guidelines for breast cancer-related screenings should be considered as the most updated, except for those issued around November 2009.