The Lung Cancer Screening Expansion Act of 2025 requires all health insurers—including private insurance plans and federal health programs—to provide full coverage at no cost to patients for annual lung cancer screenings using low-dose CT scans or similar technologies for adults ages 50 to 80 who are at increased risk for the disease. The bill defines eligibility broadly, allowing any treating healthcare provider to determine if a patient has elevated lung cancer risk based on personal, environmental, or family factors. To ensure access, the law prohibits insurance companies from imposing prior authorization requirements, step-therapy protocols, frequency limits stricter than once per year, or excessive documentation demands. Federal agencies, including the Department of Health and Human Services, Department of Defense, Veterans Affairs, and Office of Personnel Management, must develop implementing regulations within 180 days of the bill's enactment to enforce compliance across all covered programs. This expansion aims to increase early detection of lung cancer among high-risk populations by removing financial and procedural barriers to screening.
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