H.R. 6314 — Lung Cancer Screening Expansion Act of 2025

This section requires all health insurers, group health plans, health insurance issuers offering group or individual coverage, and applicable federal health programs to provide full coverage without cost-sharing for annual low-dose computed tomography (LDCT) or other appropriate lung cancer screening technologies for eligible individuals. Such coverage may not be subject to (1) prior authorization, (2) step-therapy or other utilization controls, (3) frequency limits more restrictive than one screening annually, or (4) documentation requirements beyond those in recent evidence-based clinical guidelines.

This section defines an eligible individual as an adult who (1) is 50 to 80 years old and (2) is determined by a treating health care professional to be at increased risk for lung cancer based on personal, environmental, or familial risk factors.

This section requires the Secretaries of Health and Human Services, Defense, and Veterans Affairs, and the Director of the Office of Personnel Management to issue implementing regulations within 180 days of enactment and ensure program-wide compliance.