; or (B) used to evaluate an abnormality detected by another means of examination. (3) Supplemental breast examinations The term supplemental breast examination means a medically necessary and appropriate (in accordance with National Comprehensive Cancer Network Guidelines) examination of the breast (including such an examination using breast magnetic resonance imaging or breast ultrasound) that is— (A) used to screen for breast cancer when there is no abnormality seen or suspected; and (B) furnished based on personal or family medical history or additional factors that may increase the individual’s risk of breast cancer. . (b) Application to grandfathered health plans Section 1251(a)(4)(A) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18011(a)(4)(A) ) is amended— (1) by striking title and inserting title, or as added after the date of the enactment of this Act ; and (2) by adding at the end the following new clause: (v) Section 2730 (relating to coverage for diagnostic and supplemental breast examinations). . (c) Application to high deductible health plans with health savings account eligibility Section 223(c)(2) of the Internal Revenue Code of 1986 is amended by adding at the end the following: (H) Safe harbor for absence of deductible for diagnostic and supplemental breast examinations In the case of plan years beginning on or after January 1, 2024, a plan shall not fail to be treated as a high deductible health plan by reason of failing to have a deductible for diagnostic and supplemental breast examinations. . (d) Effective date The amendments made by this section shall apply with respect to plan years beginning on or after January 1, 2024.