# 119-hr-4543: Medicaid Breast Cancer Access to Treatment Act

119-hr-4543, Medicaid Breast Cancer Access to Treatment Act, is a 119th Congress bill sponsored by Rep. Waters, Maxine [D-CA-43] (D-CA); status introduced; PRIA reads it as touching household money (as of 2026-09-18).

- Canonical: https://policyrisk.com/legislation/119-hr-4543
- As of: 2026-09-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4543
- Congress: 119
- Title: Medicaid Breast Cancer Access to Treatment Act
- Status: introduced
- Introduced: 2025-07-17
- Sponsor: Rep. Waters, Maxine [D-CA-43] (D-CA)
- Cosponsors: 30
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-18

## 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. - 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.

## Cosponsors (30)

- Rep. Garcia, Sylvia R. [D-TX-29] (D-TX), 2025-07-17T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-07-17T00:00:00.000Z
- Rep. Velázquez, Nydia M. [D-NY-7] (D-NY), 2025-07-17T00:00:00.000Z
- Rep. Wasserman Schultz, Debbie [D-FL-25] (D-FL), 2025-07-17T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-07-17T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-07-17T00:00:00.000Z
- Rep. Fields, Cleo [D-LA-6] (D-LA), 2025-07-17T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2025-07-17T00:00:00.000Z
- Rep. Tlaib, Rashida [D-MI-12] (D-MI), 2025-07-17T00:00:00.000Z
- Rep. Thompson, Bennie G. [D-MS-2] (D-MS), 2025-07-17T00:00:00.000Z
- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-07-17T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-07-17T00:00:00.000Z
- Rep. Watson Coleman, Bonnie [D-NJ-12] (D-NJ), 2025-07-17T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-07-17T00:00:00.000Z
- Rep. Lee, Summer L. [D-PA-12] (D-PA), 2025-07-17T00:00:00.000Z
- Rep. Latimer, George [D-NY-16] (D-NY), 2025-07-17T00:00:00.000Z
- Rep. Wilson, Frederica S. [D-FL-24] (D-FL), 2025-07-17T00:00:00.000Z
- Rep. Veasey, Marc A. [D-TX-33] (D-TX), 2025-07-17T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2025-07-17T00:00:00.000Z
- Rep. Lynch, Stephen F. [D-MA-8] (D-MA), 2025-07-17T00:00:00.000Z
- Rep. McIver, LaMonica [D-NJ-10] (D-NJ), 2025-07-17T00:00:00.000Z
- Rep. García, Jesús G. "Chuy" [D-IL-4] (D-IL), 2025-07-17T00:00:00.000Z
- Rep. Cherfilus-McCormick, Sheila [D-FL-20] (D-FL), 2025-07-17T00:00:00.000Z
- Rep. Moore, Gwen [D-WI-4] (D-WI), 2025-07-17T00:00:00.000Z
- Rep. Costa, Jim [D-CA-21] (D-CA), 2025-07-17T00:00:00.000Z
- Rescom. Hernández, Pablo Jose [D-PR-At Large] (D-PR), 2025-07-22T00:00:00.000Z
- Rep. Trahan, Lori [D-MA-3] (D-MA), 2025-09-09T00:00:00.000Z
- Rep. McDonald Rivet, Kristen [D-MI-8] (D-MI), 2025-09-09T00:00:00.000Z
- Rep. McBride, Sarah [D-DE-At Large] (D-DE), 2025-09-09T00:00:00.000Z
- Rep. Hayes, Jahana [D-CT-5] (D-CT), 2026-09-16T00:00:00.000Z

## Provisions PRIA read

- Medicaid coverage for cancer patients: benefit, high. 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: benefit, high. 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: benefit, medium. 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 af…

## Related bills

- 119-hr-7973: Momnibus Act
- 119-hr-5390: FAMILY Act
- 119-hr-15: Equality Act
- 119-hr-1589: American Dream and Promise Act of 2025
- 119-hr-2763: American Family Act
- 119-hr-17: Paycheck Fairness Act

## Sources
- [119-hr-4543 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4543)

## Related
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-5390: FAMILY Act](https://policyrisk.com/legislation/119-hr-5390)
- [119-hr-15: Equality Act](https://policyrisk.com/legislation/119-hr-15)
- [119-hr-1589: American Dream and Promise Act of 2025](https://policyrisk.com/legislation/119-hr-1589)
- [119-hr-2763: American Family Act](https://policyrisk.com/legislation/119-hr-2763)
- [119-hr-17: Paycheck Fairness Act](https://policyrisk.com/legislation/119-hr-17)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4543 (as of 2026-09-18).