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Amends subsection (a)(10) to add a new subclause that explicitly includes individuals described in subsection (aa) as an eligibility category, adjusts related cross-references, and revises subsection (aa) by striking paragraphs (1) and (2) and redesignating paragraphs (3) and (4) as (1) and (2).
Amends section 1396d(a) to insert a new paragraph (32) adding coverage of breast reconstruction following a medically necessary mastectomy and redesignates existing paragraph (32) as paragraph (33).
Amends subsections (a)(2) and (b)(2) of section 1396o to add a new subparagraph (K) excluding items and services furnished to individuals described in section 1902(aa) from cost sharing, and adjusts related punctuation.
Amends section 1396o-1(b)(3) to update cross-references from '1902(a)(10)(A)(ii)(XVIII)' to '1902(a)(10)(A)(i)(X)' in subparagraphs (A)(v) and (B)(viii).
This bill would require every state’s Medicaid program to cover people diagnosed with breast or cervical cancer, rather than leaving it optional. This means more patients could get treatment paid for by Medicaid, no matter where they live. It also makes breast reconstruction after a medically necessary mastectomy a covered service under Medicaid, helping patients complete their care and recovery. The bill updates cost-sharing rules so these patients face limited copays and other charges for their care.
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Referred to the House Committee on Energy and Commerce.
Introduced July 17, 2025 by Maxine Waters · Last progress July 17, 2025