Medicare Breast Reconstruction Access and Information Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4545 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 4545

    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.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 17, 2025

     Ms. Waters (for herself, Ms. Garcia of Texas, Ms. Norton, Ms. 
Velazquez, Ms. Wasserman Schultz, Mrs. Dingell, Ms. Clarke of New York, 
    Mr. Fields, Mr. Johnson of Georgia, Ms. Tlaib, Mr. Thompson of 
   Mississippi, Ms. Sewell, Mr. Gottheimer, Mrs. Watson Coleman, Mr. 
Thanedar, Ms. Lee of Pennsylvania, Mr. Latimer, Ms. Wilson of Florida, 
Mr. Veasey, Mr. Cohen, Mr. Lynch, Mrs. McIver, Mr. Garcia of Illinois, 
 Mrs. Cherfilus-McCormick, Ms. Salinas, and Mr. Olszewski) introduced 
 the following bill; which was 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

_______________________________________________________________________

                                 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.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Breast Reconstruction 
Access and Information Act''.

SEC. 2. REQUIRING THE PROVISION OF CERTAIN INFORMATION WITH RESPECT TO 
              BREAST RECONSTRUCTION SURGERY.

    Section 1834 of the Social Security Act (42 U.S.C. 1395m) is 
amended by adding at the end the following new subsection:
    ``(aa) Requirement To Provide Certain Information With Respect to 
Breast Reconstruction Surgery.--Notwithstanding any other provision of 
this part, no payment may be made under this part for a mastectomy 
furnished to an individual on or after the date that is 1 year after 
the date of the enactment of this subsection unless the supplier 
furnishing such mastectomy, prior to the furnishing of such 
mastectomy--
            ``(1) informs such individual that breast reconstruction 
        surgery following a medically necessary mastectomy is covered 
        under this part pursuant to national coverage determination 
        140.2; and
            ``(2) documents the provision of such information in the 
        medical record of such individual.''.
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