22.2 Million Women Ages 50 to 64 May Lose Access to Free Mammogram Screening

Note: This fact sheet was updated May 18, 2023, to add a description in paragraph two of the impact that the Consolidated Appropriations Act of 2023 will have on the implications of the Braidwood decision.

A recent federal court decision could lead to more than 22 million women losing access to no-cost mammogram screenings.

The Issue

A provision within the Affordable Care Act (ACA) that was struck down requires insurers to provide certain preventive services with no cost-sharing for patients.

Key Findings

• 2018 data show that 22.2 million women ages 50 to 64 were enrolled in a private health plan and were eligible for a free mammogram under the ACA.
  • More than 60 percent of these women (13.4 million) reported having a mammogram within the previous two years.
• Researchers note that when not covered by insurance, mammograms can cost patients up to $560 in out-of-pocket expenses.
• 2.4 million women surveyed (11%) reported already delaying or skipping medical care due to cost in the prior year.

Conclusion

Millions of women have benefitted from free mammogram screenings under the ACA. Recent litigation surrounding preventive healthcare puts patients at risk of losing access to life-saving screenings.

About the Author/Grantee

The nonprofit Urban Institute is dedicated to elevating the debate on social and economic policy. For nearly five decades, Urban scholars have conducted research and offered evidence-based solutions that improve lives and strengthen communities across a rapidly urbanizing world. Their objective research helps expand opportunities for all, reduce hardship among the most vulnerable, and strengthen the effectiveness of the public sector. Visit the Urban Institute’s Health Policy Center for more information specific to its staff and its recent research.