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Medicare Breast Reconstruction Access and Information Act

USA119th CongressHR-4545| House 
| Updated: 7/17/2025
Maxine Waters

Maxine Waters

Democratic Representative

California

Cosponsors (29)
Sylvia R. Garcia (Democratic)Marc A. Veasey (Democratic)Julie Johnson (Democratic)Pablo Jose Hernández (Democratic)Kristen McDonald Rivet (Democratic)Frederica S. Wilson (Democratic)Terri A. Sewell (Democratic)Debbie Dingell (Democratic)Steve Cohen (Democratic)Andrea Salinas (Democratic)Shri Thanedar (Democratic)George Latimer (Democratic)Henry C. "Hank" Johnson (Democratic)Sheila Cherfilus-McCormick (Democratic)Stephen F. Lynch (Democratic)LaMonica McIver (Democratic)Eleanor Holmes Norton (Democratic)Bonnie Watson Coleman (Democratic)Summer L. Lee (Democratic)Nydia M. Velázquez (Democratic)Cleo Fields (Democratic)Johnny Olszewski (Democratic)Yvette D. Clarke (Democratic)Bennie G. Thompson (Democratic)Lori Trahan (Democratic)Josh Gottheimer (Democratic)Jesús G. "Chuy" García (Democratic)Rashida Tlaib (Democratic)Debbie Wasserman Schultz (Democratic)

Ways and Means Committee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
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.
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Timeline

Bill from Previous Congress

HR 118-10060
Medicare Breast Reconstruction Access and Information Act
Jul 17, 2025
Introduced in House
Jul 17, 2025
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.
  • Bill from Previous Congress

    HR 118-10060
    Medicare Breast Reconstruction Access and Information Act


  • July 17, 2025
    Introduced in House


  • July 17, 2025
    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.

Health

Medicare Breast Reconstruction Access and Information Act

USA119th CongressHR-4545| House 
| Updated: 7/17/2025
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.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

HR 118-10060
Medicare Breast Reconstruction Access and Information Act
Jul 17, 2025
Introduced in House
Jul 17, 2025
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.
  • Bill from Previous Congress

    HR 118-10060
    Medicare Breast Reconstruction Access and Information Act


  • July 17, 2025
    Introduced in House


  • July 17, 2025
    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.
Maxine Waters

Maxine Waters

Democratic Representative

California

Cosponsors (29)
Sylvia R. Garcia (Democratic)Marc A. Veasey (Democratic)Julie Johnson (Democratic)Pablo Jose Hernández (Democratic)Kristen McDonald Rivet (Democratic)Frederica S. Wilson (Democratic)Terri A. Sewell (Democratic)Debbie Dingell (Democratic)Steve Cohen (Democratic)Andrea Salinas (Democratic)Shri Thanedar (Democratic)George Latimer (Democratic)Henry C. "Hank" Johnson (Democratic)Sheila Cherfilus-McCormick (Democratic)Stephen F. Lynch (Democratic)LaMonica McIver (Democratic)Eleanor Holmes Norton (Democratic)Bonnie Watson Coleman (Democratic)Summer L. Lee (Democratic)Nydia M. Velázquez (Democratic)Cleo Fields (Democratic)Johnny Olszewski (Democratic)Yvette D. Clarke (Democratic)Bennie G. Thompson (Democratic)Lori Trahan (Democratic)Josh Gottheimer (Democratic)Jesús G. "Chuy" García (Democratic)Rashida Tlaib (Democratic)Debbie Wasserman Schultz (Democratic)

Ways and Means Committee, Energy and Commerce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted