Medicaid coverage of annual lung cancer screening with no cost sharing for certain individuals

(a) In general Section 1905(a)(4) of the Social Security Act (42 U.S.C. 1396d(a)(4)) is amended— (1) by striking and before (F); and (2) by inserting before the semicolon at the end the following:; and (G) an annual lung cancer screening for individuals who are eligible under the plan and for whom such screening is recommended under guidelines published by the United States Preventive Services Task Force, without regard to prior authorization. (b) No cost sharing (1) In general Subsections (a)(2) and (b)(2) of section 1916 of the Social Security Act (42 U.S.C. 1396o) are each amended— (A) in subparagraph (G), by adding at the end, or; and (B) by adding at the end the following new subparagraph: (H) lung cancer screening for which payment may be made under the State plan pursuant section to 1905(a)(4)(G);. (2) Application to alternative cost sharing Section 1916A(b)(3)(B) of the Social Security Act (42 U.S.C. 1396o–1(b)(3)(B)) is amended by adding at the end the following new clause: (xiv) Lung cancer screening for which payment may be made under the State plan pursuant to section 1905(a)(4)(G).. (c) Application to Medicaid managed care organizations Section 1932(b) of the Social Security Act (42 U.S.C. 1396u–2(b)) is amended by adding at the end the following new paragraph: (9) Lung cancer screening Each contract with a medicaid managed care organization under section 1903(m) shall require the organization to provide coverage for lung cancer screening for which payment may be made under the State plan pursuant to section 1905(a)(4)(G) without regard to prior authorization.. (d) Effective date (1) In general Subject to paragraph (2), the amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2026. (2) Exception if State legislation required In the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet such additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of the enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature.