Medicaid would cover certain breast and cervical cancer patients, expanding eligibility for coverage and requiring breast reconstruction.
This bill would make sure Medicaid covers certain individuals with breast or cervical cancer, expanding who can qualify for coverage. It would also require Medicaid to pay for breast reconstruction after a necessary mastectomy. These changes would take effect one year after the bill becomes law.
Today, Medicaid coverage for breast or cervical cancer patients is optional for states and often has income limits, and breast reconstruction after a mastectomy might not always be covered. If this bill passes, Medicaid would be required to cover more of these cancer patients by expanding eligibility criteria, though income limits from associated screening programs would still apply. Breast reconstruction would also become a mandatory covered service. These changes would apply starting one year after the bill becomes law.
HR 4543 · 119th Congress · July 17, 2025 · AI Summary by gemini-2.5-flash · 9/10
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