(A)

in paragraph (2), by striking and at the end;

(B)

in paragraph (3), by striking the period at the end and inserting a semicolon;

(C)

in paragraph (4), by striking the period at the end and inserting and as described in subparagraph (E); and;

(D)

by redesignating paragraphs (1) through (5) as subparagraphs (A) through (E), respectively, and adjusting the margins accordingly;

(E)

by striking the subsection designation and heading and all that follows through A group health plan and inserting the following:

(a) Requirements

(1) In general

A group health plan;

(F)

in the undesignated matter following subparagraph (E) of paragraph (1) (as so redesignated), by striking Nothing in this subsection and inserting the following:

(3) Rule of construction

Nothing in this subsection;

(G)

in subparagraph (E) of paragraph (1) (as so redesignated), by striking (E) for the purposes of this Act, and inserting the following:

(2) Recommendations

For the purposes of this Act,;

(H)

in paragraph (1) (as so redesignated), by adding at the end the following:

(E)

(i)

with respect to an individual who is at increased risk of breast cancer (as determined in accordance with the most recent applicable American College of Radiology Appropriateness Criteria or the most recent applicable guidelines of the National Comprehensive Cancer Network) or with heterogeneously or extremely dense breast tissue (as defined by the Breast Imaging Reporting and Data System established by the American College of Radiology), screening and diagnostic imaging (with no limitation applied on frequency) for the detection of breast cancer, including 2D or 3D mammograms, breast ultrasounds, breast magnetic resonance imaging, molecular breast imaging, or other technologies (as determined in accordance with such applicable criteria or guidelines); and

(ii)

with respect to an individual who is not described in subparagraph (A) and who is determined by a health care provider (in accordance with such most recent applicable criteria or guidelines) to require screening or diagnostic breast imaging by reason of factors, including age, race, ethnicity, or personal or family medical history, screening and diagnostic imaging (with no limitation applied on frequency) for the detection of breast cancer, including 2D or 3D mammograms, breast ultrasounds, breast magnetic resonance imaging, molecular breast imaging, or other technologies (as determined in accordance with such applicable criteria or guidelines).

(A)

by striking title) and inserting title, or as added after the date of the enactment of this Act);

(B)

by redesignating clause (iv) as clause (v); and

(C)

by inserting after clause (iii) the following:

(iv)

Section 2713(a)(1)(E) (relating to screening and diagnostic imaging for the detection of breast cancer).

(A)

by striking (B) recommended and inserting (B)(i) recommended;

(B)

by striking Task Force; and and inserting Task Force; or; and

(C)

by adding at the end the following new clause:

(ii)

beginning on January 1, 2026, in addition to any other items or services described in this paragraph, screening and diagnostic imaging (with no limitation applied on frequency) for the detection of breast cancer, including 2D or 3D mammograms, breast ultrasounds, breast magnetic resonance imaging, molecular breast imaging, or other technologies (as determined in accordance with the most recent applicable American College of Radiology Appropriateness Criteria or the most recent applicable guidelines of the National Comprehensive Cancer Network) for—

(I)

an individual who is at increased risk of breast cancer (as determined in accordance with such applicable criteria or guidelines) or with heterogeneously or extremely dense breast tissue (as defined by the Breast Imaging Reporting and Data System established by the American College of Radiology); and

(II)

an individual who is not described in subclause (I) and who is determined by a health care provider (in accordance with such most recent applicable criteria or guidelines) to require such screening or diagnostic breast imaging by reason of factors determined by the Secretary, including age, race, ethnicity, or personal or family medical history; and

(A)

in clause (iv)—

(B)

in clause (v), by striking and (VI) and inserting (VI), and (VIII).

(A)

in paragraph (4)—

(B)

in paragraph (13), in the matter preceding subparagraph (A), by inserting (other than an item or service for which medical assistance is provided pursuant to paragraph (4)(G)) after services.

(A) In general

Subsections (a)(2) and (b)(2) of section 1916 of the Social Security Act (42 U.S.C. 1396o) are each amended—

(B) 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:

(xv)

With respect to an individual described in clause (i) or (ii) of section 1905(a)(4)(G), screening and diagnostic imaging and other technologies described in such clause (i) or (ii), respectively.

(A) In general

Except as provided in subparagraph (B), the amendments made by this subsection shall take effect on January 1, 2026.

(B) Delay permitted if State legislation required

In the case of a State plan approved 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 this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of the failure of the plan 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 ends after the 1-year period beginning with the date of the enactment of this section. For purposes of the preceding sentence, in the case of a State that has a 2-year legislative session, each year of the session is deemed to be a separate regular session of the State legislature.

(A)

in section 1074d(a), by adding at the end the following new paragraph:

(3)

Any member or former member of the uniformed services who is entitled to medical care under section 1074 or 1074a of this title and is an individual described in subparagraph (B) of section 1079(a)(20) of this title shall also be entitled to the items and services described in subparagraph (A) of such section (subject to the same limitations specified in such subparagraph), as part of such medical care.; and

(B)

in section 1079(a), by adding at the end the following new paragraph:

(20)

(A)

Screening and diagnostic imaging (with no limitation applied on frequency) for the detection of breast cancer, including 2D or 3D mammograms, breast ultrasounds, breast magnetic resonance imaging, molecular breast imaging, or other technologies (as determined in accordance with the most recent applicable criteria or guidelines described in subparagraph (B)), shall be provided if the patient is an individual described in subparagraph (B).

(B)

An individual described in this subparagraph is—

(i)

an individual who is at increased risk of breast cancer (as determined in accordance with the most recent applicable American College of Radiology Appropriateness Criteria or the most recent applicable guidelines of the National Comprehensive Cancer Network) or with heterogeneously or extremely dense breast tissue (as defined by the Breast Imaging Reporting and Data System established by the American College of Radiology); or

(ii)

an individual who is not described in clause (i) and who is determined by a health care provider (in accordance with such most recent applicable criteria or guidelines) to require screening or diagnostic breast imaging by reason of factors including age, race, ethnicity, or personal or family medical history.

(A)

in section 1075a, by adding at the end the following new subsection:

(d) Elimination of cost-Sharing for certain breast cancer-Related items and services

Notwithstanding any other provision of this section, cost-sharing requirements may not be imposed or collected with respect to any beneficiary enrolled in TRICARE Prime for any item or service described in subparagraph (A) of section 1079(a)(20) of this title provided under TRICARE Prime, in accordance with the limitations specified in such subparagraph, if the beneficiary is an individual described in subparagraph (B) of such section.;

(B)

in section 1075(c), by adding at the end the following new paragraph:

(5)

Notwithstanding any other provision of this section, cost-sharing requirements may not be imposed or collected with respect to any beneficiary enrolled in TRICARE Select for any item or service described in subparagraph (A) of section 1079(a)(20) of this title provided under TRICARE Select, in accordance with the limitations specified in such subparagraph, if the beneficiary is an individual described in subparagraph (B) of such section.; and

(C)

in section 1086, by adding at the end the following new subsection:

(j)

Notwithstanding any other provision of this section, cost-sharing may not be imposed or collected under a plan contracted for under subsection (a) with respect to any individual described in subparagraph (B) of section 1079(a)(20) of this title for an item or service described in subparagraph (A) of such section and provided in accordance with the limitations specified in such subparagraph.