Medicare Breast Reconstruction Access and Information Act

United States119th CongressHR-4545House of Representatives
Updated: Jul 17, 2025

Summary

This bill aims to enhance patient awareness regarding breast reconstruction coverage under the Medicare program. It amends Title XVIII of the Social Security Act to establish a new requirement for healthcare providers. Specifically, beginning one year after the bill's enactment, Medicare will not make payments for a mastectomy unless the provider first informs the patient that breast reconstruction surgery following a medically necessary mastectomy is covered under Medicare's national coverage determination 140.2. Furthermore, the provider must document the provision of this information in the patient's medical record. This measure seeks to ensure patients are fully aware of their coverage options for post-mastectomy care.

Bill texts

Available versions
Introduced (House)View official text

1 version available

All available records shown.

Timeline

  1. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    House of Representatives

  2. Introduced in House

All available records shown.