Lung Cancer Policy & Advocacy

The Lung Association supports policies to reduce the risk of lung cancer, increase screening for those at high risk and improve access to treatment. Many of these policies are incorporated into our work on tobacco, healthy air, and healthcare advocacy.

Improving Early Detection of Lung Cancer

Detecting lung cancer in early stages versus late stage is often the difference between life and death. Low-dose CT scans among those at high risk for lung cancer can help detect this disease earlier and has been shown to reduce the lung cancer death rate by up to 20 percent. The Lung Association is committed to improving access to lifesaving lung cancer screenings.

In 2017, the Lung Association and the Ad Council launched Saved By The Scan – a lung cancer screening campaign to raise awareness among current and former smokers about the importance of getting screened.

You can also read and download our screening Q&A. 

We’re also working to improve early diagnosis for people who do not meet the high-risk criteria for screening through our research efforts, our advocacy for the National Institutes of Health and Centers for Disease Control and Prevention, and other activities. State, local and tribal health departments have an important role to play in promoting lung cancer screening. Our issue brief on State and Tribal Approaches to Improve Lung Cancer Screening Rates describes efforts undertaken by Arkansas, Kentucky and the Fond du Lac Band of Lake Superior Chippewa to improve lung cancer screening rates. This also serves as a resource for other groups seeking to improve screening rates in their communities. 

Lung Cancer Screening Coverage

In 2015, the Centers for Medicare and Medicaid Services (Medicare) approved coverage for low-dose CT scans in high-risk Medicare beneficiaries. Through additional requirements in the Affordable Care Act for private insurance plans, many Americans who are at high risk for lung cancer now have access to free annual screening as a preventive service recommended by the United States Preventive Services Task Force (USPSTF).

In 2019, the Lung Association launched the State Lung Cancer Screening Coverage Project to improve coverage for lung cancer screening in state Medicaid programs. Learn more in our State Lung Cancer Screening Coverage Toolkit. 

In 2021, USPSTF updated its recommendation for low-dose CT scans to detect lung cancer to include people ages 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years. Our USPSTF Lung Cancer Screening Recommendation Toolkit provides additional information and resources on the updated guidelines. This includes the Lung Cancer Screening Billing Guide, which prepares healthcare professionals to navigate lung cancer screening coverage and to work with payers on billing issues. 

Coverage of USPSTF-recommended services faced a new challenge in the Braidwood court case Kennedy v Braidwood. This case disputed the ACA’s requirement that most plans cover preventive services without cost-sharing, including lung cancer screening. The U.S. Supreme Court ruled in 2025 that preventive services must be covered without cost-sharing while also reaffirming the HHS Secretary’s authority to approve recommendations. The Lung Association maintains the page Lung.org/Braidwood with information on the case and key resources for stakeholders on protecting cost-free access to these services. 

LUNG FORCE Advocacy Day

Each year, we bring LUNG FORCE Heroes from across the country to Washington DC to ask their Members of Congress to support policies that help patients with lung cancer. Read about Advocacy Day and help amplify the efforts of our LUNG FORCE Heroes this year.