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H.R. 4543

BillFederalHouseIn Committee
Medicaid Breast Cancer Access to Treatment Act
About This Bill
Committee
Latest Action · July 17, 2025
Referred to the House Committee on Energy and Commerce.
Congress
119th (2025–2027)
Introduced
July 17, 2025
Cosponsors (29)
29D 0R
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Summary

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This bill expands Medicaid coverage to include individuals diagnosed with breast or cervical cancer, ensuring they have access to treatment and care under the federal-state insurance program. The legislation specifically adds breast reconstruction following medically necessary mastectomy as a covered service under Medicaid and removes cost-sharing requirements (like copayments) for cancer patients receiving treatment. The bill modifies the existing Medicaid statute to create a new eligibility category for these cancer patients while maintaining the federal matching formula that helps states fund the program. The changes take effect one year after the bill becomes law, giving states time to implement the new coverage requirements.

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