S.1500 - Access to Breast Cancer Diagnosis Act of 2025 (119th Congress)
Summary
S.1500, the Access to Breast Cancer Diagnosis Act of 2025, aims to eliminate cost-sharing for diagnostic and supplemental breast examinations under group and individual health insurance plans. This bill amends Title XXVII of the Public Health Service Act and relevant sections of the Affordable Care Act and the Internal Revenue Code. The goal is to improve access to crucial breast cancer screenings and diagnostic procedures.
Expected Effects
The primary effect of this bill will be to remove financial barriers, such as deductibles, coinsurance, and copayments, for diagnostic and supplemental breast examinations. This will likely lead to increased utilization of these services, potentially resulting in earlier detection and treatment of breast cancer. The changes will apply to plan years beginning on or after January 1, 2026.
Potential Benefits
- Increased access to diagnostic and supplemental breast examinations.
- Reduced financial burden on individuals needing these services.
- Potential for earlier detection and treatment of breast cancer, leading to improved health outcomes.
- Aligned with the goal of promoting public health and well-being.
- May reduce disparities in healthcare access related to socioeconomic status.
Potential Disadvantages
- Potential increase in healthcare costs due to higher utilization of services.
- Possible administrative burden for health plans and insurers to implement the changes.
- May lead to increased demand for breast imaging services, potentially straining resources.
- Could incentivize unnecessary testing if not properly managed with utilization controls.
- Potential for increased premiums in the long run, though this is uncertain.
Constitutional Alignment
The bill appears to align with the general welfare clause of the Constitution, as it aims to promote public health by improving access to breast cancer screening and diagnosis. While healthcare is not explicitly mentioned in the Constitution, Congress has broad authority to enact laws that promote the general welfare of the United States, as outlined in the Preamble. The bill does not appear to infringe on any specific constitutional rights or limitations.
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).