Bill > HR4543

This bill, known as the "Medicaid Breast Cancer Access to Treatment Act," aims to expand Medicaid coverage for individuals with breast or cervical cancer. Specifically, the bill modifies the Social Security Act to require Medicaid to provide medical assistance to certain individuals diagnosed with breast or cervical cancer. The legislation introduces two key changes: first, it adds a new eligibility category for Medicaid coverage for patients with breast or cervical cancer, ensuring they can receive necessary medical treatment; second, it mandates that Medicaid cover breast reconstruction surgery following a medically necessary mastectomy. The bill also makes related technical amendments to adjust cost-sharing provisions and federal medical assistance percentage (FMAP) calculations to accommodate these new coverage requirements. These changes are designed to improve access to healthcare for individuals affected by breast and cervical cancer, particularly those who might not otherwise qualify for Medicaid. The amendments will take effect one year after the bill's enactment, giving states time to implement the new coverage requirements.

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https://www.congress.gov/bill/119th-congress/house-bill/4543/all-info