PSA Screening for HIM Act (H.R. 1300)
February 13, 2025
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Where This Stands
Currently in_committee. The next step in the legislative lifecycle is Floor Vote.
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →The Frame
Starting January 1, 2026, men aged 40 and older who are at high risk for prostate cancer will be able to receive screenings without requirements under most group and individual health insurance plans.
Potentially affected actors named in the source documents. Mention is not a position.
Men aged 40 and older at high risk for prostate cancer
They would be eligible for prostate cancer screenings without cost-sharing requirements under their health insurance plans.
Group health plans and health insurance issuers
They are required to provide coverage for prostate cancer screenings for high-risk men without imposing cost-sharing.
Current stage: in_committee.
Floor Vote.
Summary
Why It Matters
Starting January 1, 2026, men aged 40 and older who are at high risk for prostate cancer will be able to receive screenings without requirements under most group and individual health insurance plans.
Key Facts
- The bill mandates that group and individual health insurance plans cover prostate cancer screenings for high-risk men aged 40 and older without cost-sharing.
- High-risk is defined to include African-American men and men with a family history of prostate cancer.
- Family history is defined as having a first-degree relative diagnosed with, who developed, or who died from prostate cancer, or having a relative with associated cancers or genetic alterations.
- The new coverage requirement takes effect for plan years beginning on or after January 1, 2026.
- The bill amends section 2713 of the Public Health Service Act.
- The bill clarifies that nothing prohibits plans from offering additional coverage beyond these requirements.
- The bill establishes that for breast cancer screening, recommendations from November 2009 are not considered the most current.
- Prostate cancer is identified as the second leading cause of cancer death in U.S. men, with 35,700 deaths estimated for 2025.
Frequently Asked Questions
Who qualifies as 'high-risk' under this bill?
Does this bill eliminate all costs for prostate cancer screenings?
When does this change take effect?
News Coverage
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Expansion of Preventive Services
The bill explicitly adds prostate cancer screening for high-risk men to the list of preventive services that must be covered without cost-sharing under the Public Health Service Act.
Connected Entities
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy20Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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