# 119-hr-5813: Women’s Health and Cancer Rights Modernization Act of 2025 119-hr-5813, Women’s Health and Cancer Rights Modernization Act of 2025, is a 119th Congress bill sponsored by Rep. Cammack, Kat [R-FL-3] (R-FL); status introduced; PRIA reads it as touching household money (as of 2026-04-21). - Canonical: https://policyrisk.com/legislation/119-hr-5813 - As of: 2026-04-21 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: 119-hr-5813 - Congress: 119 - Title: Women’s Health and Cancer Rights Modernization Act of 2025 - Status: introduced - Introduced: 2025-10-24 - Sponsor: Rep. Cammack, Kat [R-FL-3] (R-FL) - Cosponsors: 13 - Policy area: Health - Touches household money: yes - Last recorded action: 2026-04-21 ## Summary **This bill would create a federal baseline requiring comprehensive coverage for breast or chest wall reconstruction after breast cancer treatment**, and it would set rules on in-network access and written notice to patients about that coverage. It covers reconstruction methods, prostheses, complication care, and lymphedema supplies and ties decisions to consultation between the patient and their physician. - Families and patients: Would require plans to cover all stages and types of reconstruction, including immediate and delayed implants, flap techniques, structural fat grafting, flat closure, reconstruction of the opposite breast for symmetry, custom prostheses, and treatment of complications and lymphedema. Cost sharing must be consistent with other benefits. - Employers, insurers, and plans: Would apply across group health plans, employer-sponsored plans, self-insured plans, and individual coverage by amending federal health statutes to require the same standards. Plans may still negotiate provider reimbursement. - Providers and access: Would require at least one in-network provider for each reconstruction modality and variation, and written notices at enrollment and annually. The Comptroller General must report within one year on access gaps, including microsurgical reconstruction. The rules would apply to plan years beginning on or after enactment, with a special rule for collective bargaining plan amendments. ## Cosponsors (13) - Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-10-24T00:00:00.000Z - Rep. Hinson, Ashley [R-IA-2] (R-IA), 2025-10-24T00:00:00.000Z - Rep. McBath, Lucy [D-GA-6] (D-GA), 2025-10-24T00:00:00.000Z - Rep. Kim, Young [R-CA-40] (R-CA), 2025-10-24T00:00:00.000Z - Rep. McClain Delaney, April [D-MD-6] (D-MD), 2025-10-24T00:00:00.000Z - Rep. Van Duyne, Beth [R-TX-24] (R-TX), 2025-10-24T00:00:00.000Z - Rep. Perez, Marie Gluesenkamp [D-WA-3] (D-WA), 2025-10-24T00:00:00.000Z - Rep. Pettersen, Brittany [D-CO-7] (D-CO), 2025-10-24T00:00:00.000Z - Rep. Lee, Laurel M. [R-FL-15] (R-FL), 2025-11-04T00:00:00.000Z - Rep. Maloy, Celeste [R-UT-2] (R-UT), 2025-11-04T00:00:00.000Z - Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2025-11-04T00:00:00.000Z - Rep. DesJarlais, Scott [R-TN-4] (R-TN), 2025-11-18T00:00:00.000Z - Rep. Frankel, Lois [D-FL-22] (D-FL), 2025-11-18T00:00:00.000Z ## Provisions PRIA read - Full breast reconstruction coverage during cancer care: benefit, high. If enacted, health plans that cover breast cancer treatment would have to cover full breast or chest wall reconstruction when you choose it. This would include mastectomy or breast-conserving surgery, all reconstruction methods (implants, flap surgeries, fat grafting, combined methods), and flat cl… - Workplace health plans must cover reconstruction: benefit, high. If enacted, employer health plans, including self-insured plans, would have to follow the same breast reconstruction coverage rules. This would align plans under ERISA and the tax code with the new coverage list. The change would start with plan years beginning on or after enactment. - Stops plans from dodging coverage: benefit, medium. If enacted, plans could not deny, drop, or block enrollment just to avoid covering reconstruction. Plans also could not punish doctors or pay them less to steer care away from what the law requires or from accepted medical standards. These protections would apply to plan years beginning on or after… - In-network access and yearly coverage notices: mixed, medium. If enacted, your plan would need at least one in-network provider for each covered reconstruction type and method. Coverage would be decided with you and your doctor, and only if you are a medical candidate. Plans could still apply deductibles and coinsurance like other benefits. Plans would have t… - State protections kept; plans can negotiate: mixed, low. If enacted, stronger state laws on reconstruction coverage would stay in place; the federal rule would not override them. Plans could still negotiate payment rates with providers. These clarifications would apply to plan years beginning on or after enactment. - When these coverage rules would start: mixed, low. If enacted, all changes would apply to plan years beginning on or after the date of enactment. For union plans, amending a plan only to follow the new rules would not end the collective bargaining agreement. The bill would also adjust how an existing Public Health Service Act sentence applies for t… ## Related bills - 119-hr-2102: Major Richard Star Act - 119-hr-909: Crime Victims Fund Stabilization Act of 2025 - 119-hr-1422: Enhanced Iran Sanctions Act of 2025 - 119-hr-1329: Smithsonian American Women’s History Museum Act - 119-hr-4382: America’s Olympic and Paralympic Games Commemorative Coins Act - 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act ## Sources - [119-hr-5813 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/5813) ## Related - [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102) - [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909) - [119-hr-1422: Enhanced Iran Sanctions Act of 2025](https://policyrisk.com/legislation/119-hr-1422) - [119-hr-1329: Smithsonian American Women’s History Museum Act](https://policyrisk.com/legislation/119-hr-1329) - [119-hr-4382: America’s Olympic and Paralympic Games Commemorative Coins Act](https://policyrisk.com/legislation/119-hr-4382) - [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842) - [All bills in Congress](https://policyrisk.com/legislation) Source: PRIA, https://policyrisk.com/legislation/119-hr-5813 (as of 2026-04-21).