Group and individual health insurance plans would have to cover prostate cancer screenings with no copays, deductibles, or other cost-sharing for men age 40 and over who are at high risk, including African-American men and those with a family history of prostate cancer. The bill defines family history broadly to include first-degree relatives diagnosed with prostate cancer, related cancers, or known genetic markers. It also locks in pre-November 2009 federal breast cancer screening recommendations as the standard for coverage. The coverage requirement applies to plan years starting on or after January 1, 2026.
Average Household Impact
- Insurance coverage — No-cost prostate cancer screening required for high-risk men 40+
- Breast cancer screening standard — Pre-November 2009 USPSTF guidelines locked in for coverage
Congressional Summary
Prostate-Specific Antigen Screening for High-risk Insured Men Act or the PSA Screening for HIM ActThis bill requires private health insurance plans to cover evidence-based, preventive care and screenings for prostate cancer that are not already covered under the recommendations of the U.S. Preventive Services Task Force for certain men.Specifically, plans must cover such care and screenings for men who are age 40 and over and are at high risk of developing prostate cancer (e.g., with a family history of prostrate cancer). Such coverage must be provided without imposing any cost-sharing requirement.
Legislative Subjects
Details
- Congress
- 119th
- Chamber
- House
- Status
- summarized
- Action
- Introduced in House
- Action Date
- 2025-02-13
- Date Added
- 2026-05-12
- Source
- Congress.gov →
Like reading a bill in plain English?
We're building an app that does this for every bill in Congress and lets you tell your reps how you want them to vote. We're a small team getting ready to launch, and we're trying to show investors that real people want this. Be one of them. Help us get it built. Leave your email and we'll tell you the moment the app is ready.