Sponsors (6)
The bill provides immediate health coverage and disability income relief to people with metastatic breast cancer—improving access and financial stability for affected patients—while increasing federal program costs and creating short-term administrative and coordination challenges.
People with metastatic breast cancer become eligible for Medicare immediately (no 24-month wait), allowing faster access to covered care and treatments.
People with metastatic breast cancer become eligible for Social Security disability benefits immediately (no waiting period), reducing short-term income loss and enabling quicker financial support.
Affected patients and their families face lower out-of-pocket costs and improved short-term financial stability because care costs shift to Medicare sooner and disability benefits start earlier.
Taxpayers and federal trust funds will face higher costs because beneficiaries enroll in SSDI and Medicare earlier, increasing program outlays.
SSA, CMS, and providers may face short-term administrative burden, implementation costs, and initial appeals or delays as systems, rules, and eligibility processes are updated.
Private insurers and other coverage programs may encounter coordination or billing gaps during the transition, creating temporary coverage or payment confusion for providers and patients.
Based on analysis of 3 sections of legislative text.
Introduced December 11, 2025 by Christopher Murphy · Last progress December 11, 2025
Eliminates the Social Security Disability Insurance (SSDI) five-month waiting period and the 24-month Medicare waiting period for people diagnosed with metastatic breast cancer, so they can receive disability benefits and Medicare coverage sooner. The SSDI change applies to applications filed after enactment; the Medicare change applies to benefits for months beginning after enactment.