Bill · H.R. 4545· House(119-HR-4545)

Medicare Breast Reconstruction Access and Information Act

Age: 88 years

California

Introduced: 7/17/2025
Last activity: 7/17/2025 — 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.
Sponsored by: Maxine Waters
Cosponsors: - 30 - 0

Health

Introduced
In Committee

What this bill would do

This bill, known as the "Medicare Breast Reconstruction Access and Information Act," seeks to amend title XVIII of the Social Security Act. It focuses on the Medicare program regarding breast reconstruction surgery. The legislation requires suppliers to provide specific information to individuals undergoing a mastectomy. This information must state that breast reconstruction surgery following a medically necessary mastectomy is covered under national coverage determination 140.2. Additionally, the supplier must document that this information was provided in the individual's medical record. These requirements must be met to ensure payment is made for the mastectomy.

Yes· 3 of 7

Would women be better off under this?+6
The bill specifically targets access to reconstructive services following a mastectomy, which predominantly affects women.
Would people over 65 be better off under this?+5
Seniors on Medicare benefit from increased information regarding their coverage for breast reconstruction.
Would retired people be better off under this?+5
Retirees utilizing Medicare benefit from improved clarity on coverage for reconstructive procedures.