Support the Find It Early Act and Require Insurers to Cover Breast Cancer Screening and Diagnostics with No Cost-Sharing

Based on a range of risk factors, many women require screening and diagnostic services beyond mammography to diagnose their breast cancer. 

The Find It Early Act of 2022 would ensure that all health insurance plans cover (with no cost-sharing): 

•  Screening and diagnostic mammograms 
• Breast ultrasounds and MRIs 

This includes health plans offered on the individual and group markets, employer-sponsored plans regulated by ERISA, Medicare, Medicaid, TRICARE, and the Veterans Health Administration.

By championing the Find It Early Act, legislators could eliminate the “hidden costs” of a breast cancer diagnosis.

Diagnostic breast imaging is a crucial step in the diagnosis and treatment of breast cancer. 

Women with an abnormal mammogram and/or risk factors, including dense breast tissue or family history, often need additional screening to determine or rule out a cancer diagnosis. Screenings can include diagnostic mammography, ultrasound, or MRI. 

These tests are critical for diagnosis, but they are not currently subject to the Affordable Care Act’s (ACA) preventive services coverage requirement. 

• The ACA requires insurers to cover the costs of screening mammograms, but 37 states and the District of Columbia require partial or full reimbursement of exams beyond mammograms, including breast ultrasounds or MRIs, depending on the state.