HR4543119th CongressWALLET

Medicaid Breast Cancer Access to Treatment Act

Sponsored By: Representative Waters

Introduced

Summary

Expand Medicaid coverage for certain people with breast or cervical cancer. It would create a defined eligibility pathway, add coverage for breast reconstruction after a medically necessary mastectomy, and update financing and cost-sharing rules, with changes taking effect one year after enactment.

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  • People diagnosed with qualifying breast or cervical cancers would become eligible for Medicaid through a newly defined pathway in Title XIX. The bill reorganizes statutory subparagraphs and cross references so those individuals can access the full range of Medicaid diagnosis and treatment services.
  • People who have a medically necessary mastectomy would have explicit Medicaid coverage for breast reconstruction and related services. The change inserts reconstruction into the list of covered medical assistance, making it a clear, listed benefit.
  • State Medicaid programs would see technical but important updates to federal matching fund references and cost-sharing rules. The bill changes references to the Federal Medical Assistance Percentage (FMAP), alters cost-sharing language, and updates alternative cost-sharing provisions so these beneficiaries are included. States would have one year to implement these changes.

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Medicaid coverage for cancer patients

If enacted, you could qualify for Medicaid if you have certain breast or cervical cancers. States would use this new category to decide who qualifies. The change would start beginning 1 year after the date of enactment.

Medicaid covers breast reconstruction after mastectomy

If enacted, Medicaid would cover breast reconstruction after a medically necessary mastectomy. This would apply to enrollees who had that surgery. The change would start beginning 1 year after the date of enactment.

Lower Medicaid costs for cancer care

If enacted, cost-sharing protections would explicitly apply to the new cancer coverage group. This could lower or clarify out-of-pocket costs for their care. The bill would also align federal–state funding rules for this group to support their coverage. These changes would start beginning 1 year after the date of enactment.

Sponsors & CoSponsors

Sponsor

Waters

CA • D

Cosponsors

  • Garcia (TX)

    TX • D

    Sponsored 7/17/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 7/17/2025

  • Velazquez

    NY • D

    Sponsored 7/17/2025

  • Wasserman Schultz

    FL • D

    Sponsored 7/17/2025

  • Dingell

    MI • D

    Sponsored 7/17/2025

  • Clarke (NY)

    NY • D

    Sponsored 7/17/2025

  • Fields

    LA • D

    Sponsored 7/17/2025

  • Johnson (GA)

    GA • D

    Sponsored 7/17/2025

  • Tlaib

    MI • D

    Sponsored 7/17/2025

  • Thompson (MS)

    MS • D

    Sponsored 7/17/2025

  • Sewell

    AL • D

    Sponsored 7/17/2025

  • Gottheimer

    NJ • D

    Sponsored 7/17/2025

  • Watson Coleman

    NJ • D

    Sponsored 7/17/2025

  • Thanedar

    MI • D

    Sponsored 7/17/2025

  • Lee (PA)

    PA • D

    Sponsored 7/17/2025

  • Latimer

    NY • D

    Sponsored 7/17/2025

  • Wilson (FL)

    FL • D

    Sponsored 7/17/2025

  • Veasey

    TX • D

    Sponsored 7/17/2025

  • Cohen

    TN • D

    Sponsored 7/17/2025

  • Lynch

    MA • D

    Sponsored 7/17/2025

  • McIver

    NJ • D

    Sponsored 7/17/2025

  • Garcia (IL)

    IL • D

    Sponsored 7/17/2025

  • Cherfilus-McCormick

    FL • D

    Sponsored 7/17/2025

  • Moore (WI)

    WI • D

    Sponsored 7/17/2025

  • Costa

    CA • D

    Sponsored 7/17/2025

  • Rescom. Hernández, Pablo Jose [D-PR-At Large]

    PR • D

    Sponsored 7/22/2025

  • Trahan

    MA • D

    Sponsored 9/9/2025

  • McDonald Rivet

    MI • D

    Sponsored 9/9/2025

  • McBride

    DE • D

    Sponsored 9/9/2025

Roll Call Votes

No roll call votes available for this bill.

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