Bill

Bill > HR4545


US HR4545

US HR4545
Medicare Breast Reconstruction Access and Information Act


summary

Introduced
07/17/2025
In Committee
07/17/2025
Crossed Over
Passed
Dead

Introduced Session

119th Congress

Bill Summary

A BILL To amend title XVIII of the Social Security Act to require the provision of certain information with respect to breast reconstruction surgery under the Medicare program.

AI Summary

This bill, known as the "Medicare Breast Reconstruction Access and Information Act," requires healthcare providers who perform mastectomies under Medicare to provide patients with specific information about breast reconstruction surgery before the procedure. Specifically, providers must inform patients that breast reconstruction surgery following a medically necessary mastectomy is covered under Medicare's national coverage determination 140.2, and they must document this information in the patient's medical record. If a healthcare provider fails to provide this required information prior to performing a mastectomy, Medicare will not reimburse them for the procedure. This legislation aims to ensure that patients are fully informed about their reconstructive surgery options after mastectomy, potentially helping patients make more comprehensive healthcare decisions and increasing awareness of available medical procedures covered by Medicare.

Committee Categories

Business and Industry

Sponsors (30)

Last Action

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. (on 07/17/2025)

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