H.R. 8729 — No-Cost Breast Examinations in Medicaid Act of 2026

This section prohibits cost sharing for diagnostic and supplemental breast examinations under the Medicaid program by amending sections 1916(a)(2), 1916(b)(2), and 1916A(b)(3)(B) of the Social Security Act. It defines a diagnostic breast examination as a medically necessary and appropriate examination (in accordance with National Comprehensive Cancer Network Guidelines), including diagnostic mammography, breast MRI, or breast ultrasound, to evaluate an abnormality seen or suspected from screening or detected by other means; and defines a supplemental breast examination as a medically necessary and appropriate examination (in accordance with the same guidelines), including breast MRI or ultrasound, to screen for breast cancer when no abnormality is seen or suspected but personal or family history or other risk factors are present. The section also adds screening mammography (as defined in section 1861(jj) and assigned a grade of A or B by the United States Preventive Services Task Force) as a mandatory Medicaid benefit under sections 1902(a)(10)(A) and 1905(a)(13). These amendments apply to medical assistance furnished on or after the date that is 1 year after the date of enactment.