This bill would change the Social Security Act to require Medicaid to cover certain people with breast or cervical cancer. It adds a new category in the Medicaid eligibility rules for these patients. The bill also adds "breast reconstruction following a medically necessary mastectomy" to the list of medical services Medicaid must cover. It updates related references for federal matching (FMAP) and changes cost-sharing rules so items and services for these individuals are included in existing cost-sharing exceptions. The bill says these changes would take effect one year after the bill becomes law.
If you qualify for Medicaid and are a person described in the bill as having breast or cervical cancer, Medicaid coverage would be required for your care under the terms added by this bill. Medicaid would explicitly cover breast reconstruction after a medically necessary mastectomy. The bill also treats items and services for these individuals under existing cost-sharing exception rules.
No publicly available information on federal or state cost estimates is included in the bill text. The bill does amend FMAP and cost-sharing provisions but includes no dollar amounts or budget estimates.
The bill text and metadata show sponsors introduced the measure to require Medicaid coverage for certain people with breast or cervical cancer and to add breast reconstruction after mastectomy to covered services. The bill was introduced by Rep. Maxine Waters with multiple cosponsors.
No publicly available information on opposition, formal objections, or projected negative effects is included in the bill text or metadata.