Requirement for group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage for prostate cancer screenings without imposition of cost-sharing requirements

(a) In general Section 2713(a) of the Public Health Service Act (42 U.S.C. 300gg–13(a)) is amended— (1) by striking paragraph (5); (2) by redesignating paragraphs (1) through (4) as subparagraphs (A) through (D), respectively, and adjusting the margins accordingly; (3) by striking (a) In general— A group health and inserting the following: (a) Coverage of preventive health services (1) In general A group health; (4) in paragraph (1), as so designated— (A) in subparagraph (B), as so redesignated, by striking; and and inserting a semicolon; (B) in subparagraph (C), as so redesignated, by striking the period and inserting a semicolon; (C) in subparagraph (D), as so redesignated— (i) by striking paragraph (1) and inserting subparagraph (A); and (ii) by striking the period and inserting; and; (D) by inserting after subparagraph (D), as so redesignated, the following: (E) with respect to men who are age 40 and over and are at high risk of developing prostate cancer (including African-American men and men with a family history of prostate cancer (as defined in paragraph (2))), such additional evidence-based preventive care and screenings not described in subparagraph (A) for prostate cancer.; and (5) by striking the flush text at the end and inserting the following: (2) Men with a family history of prostate cancer defined For purposes of paragraph (1)(E), the term men with a family history of prostate cancer means men who have a first-degree relative— (A) who was diagnosed with prostate cancer; (B) who developed prostate cancer; (C) whose death was a result of prostate cancer; (D) who have been diagnosed with a cancer known to be associated with increased risk of prostate cancer; or (E) who has a genetic alteration known to be associated with increased risk of prostate cancer. (3) Clarification regarding breast cancer screening, mammography, and prevention recommendations For the purposes of this Act, and for the purposes of any other provision of law, the current recommendations of the United States Preventive Service Task Force regarding breast cancer screening, mammography, and prevention shall be considered the most current other than those issued in or around November 2009. (4) Rule of construction Nothing in this subsection shall be construed to prohibit a plan or issuer from providing coverage for services in addition to those recommended by the United States Preventive Services Task Force or to deny coverage for services that are not recommended by such Task Force.. (b) Effective date The amendments made by subsection (a) shall apply with respect to plan years beginning on or after January 1, 2025.