This Act may be cited as the Lung Cancer Screening Expansion Act of 2025.

(a) Coverage standard All health insurers—including a group health plan, a health insurance issuer offering group or individual health insurance coverage, and all applicable Federal health programs—shall provide full coverage, without cost-sharing, for annual low-dose computed tomography (LDCT) or other appropriate lung cancer screening technologies for eligible individuals described in section (3). (b) Prohibited barriers Coverage under this Act may not be subject to— (1) prior authorization; (2) step-therapy or other utilization controls; (3) frequency limits more restrictive than one screening annually; or (4) documentation requirements beyond those included in recent evidence-based clinical guidelines.

An eligible individual is an adult who— (1) is 50 to 80 years old; and (2) is determined by a treating health care professional to be at increased risk for lung cancer based on personal, environmental, or familial risk factors.

The Secretary of Health and Human Services, the Secretary of Defense, the Secretary of Veterans Affairs, and the Director of the Office of Personnel Management shall issue implementing regulations within 180 days of enactment and ensure program-wide compliance.