Bill · H.R. 5813· House(119-HR-5813)
Women’s Health and Cancer Rights Modernization Act of 2025
- Introduced
- 10/24/2025
- Last activity
- 10/24/2025 — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, 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
- Kat Cammack
- Cosponsors
- - 6 - 7
- Introduced
- In Committee
What this bill would do
H.R. 5813 is titled the Women's Health and Cancer Rights Modernization Act of 2025. The bill requires group health plans and health insurance issuers to provide coverage for breast or chest wall reconstruction items and services connected to breast cancer treatment. It details specific medical treatments, reconstruction modalities, types, and procedural variations that must be covered. The legislation also mandates that plans provide written notice of these coverage options to participants upon enrollment and annually thereafter. Additionally, the bill prohibits plans from dropping patients or penalizing doctors for following these rules. Finally, it orders the Comptroller General to submit a report within one year regarding any gaps or barriers in access to breast reconstruction.
Yes· 3 of 12
Would women be better off under this?+9
The bill directly improves health outcomes and financial protections for women undergoing breast cancer treatment by guaranteeing comprehensive coverage for reconstructive surgeries and related complications.
Does this make health care easier to get in general?+8
The legislation significantly enhances healthcare access by requiring group and individual health plans to cover a comprehensive range of breast and chest wall reconstruction options and related medical treatments.
Would people in middle age be better off under this?+6
Middle-aged adults, who experience higher rates of breast cancer diagnoses, directly benefit from robust coverage mandates for reconstructive surgeries and treatments.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Comprehensive Care Coverage: Section 2 outlines required coverage for various treatments, including mastectomies, implant-based and tissue-based reconstruction, custom prostheses, and treatment for complications like lymphedema. This ensures patients have broad insurance support for their physical recovery choices.
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Symmetrical Reconstruction: Section 2 requires coverage for surgery and reconstruction of the opposite breast or chest wall to produce a symmetrical appearance. This benefits patients by helping them achieve a balanced physical appearance after unilateral treatments.
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In-Network Availability: Section 2 requires health plans and issuers to ensure that at least one in-network provider is available for each specific reconstruction modality, type, and procedural variation. This helps patients access specialized care without automatically facing out-of-network costs.
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Protection Against Dropping Coverage: Section 2 prohibits health plans and issuers from denying a patient eligibility or continued enrollment solely to avoid complying with the requirements of the bill. This shields patients from losing their health insurance due to their medical needs.
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Provider Protections: Section 2 stops plans from penalizing, reducing reimbursement for, or bribing attending providers to force them to give care that violates these rules or standard medical practices. This supports doctors in providing proper patient care without financial threats from insurance companies.
Potential Negative Impacts for People
- Deductibles and Coinsurance: Section 2 states that the required coverage may still be subject to annual deductibles and coinsurance provisions that are consistent with other benefits under the plan. This means individuals may still have to pay out-of-pocket costs for these medical services.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Women+9Good For Middle Aged+6Good For Seniors+5Good For Low Income Households+4Good For Middle Class Households+4Good For Union Workers+3Good For Young Adults+3Good For Men+2
- Healthcare
- Improves Healthcare Access+8
- Social Issues And Justice
- Improves Gender Equality+4
- Economy And Finance
- Improves Consumer Protection+3
- Governance And Ideology
- Increases Federal Power+2
- 11/18/2025
- 2 Cosponsors added.
- 11/4/2025
- 3 Cosponsors added.
- 10/24/2025
- Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, 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.
- 8 Cosponsors added.
- Introduced in House
Scott DesJarlaisRepublican · Tennessee
Debbie DingellDemocrat · Michigan
Lois FrankelDemocrat · Florida
Marie PerezDemocrat · Washington
Ashley HinsonRepublican · Iowa
Young KimRepublican · California
Laurel LeeRepublican · Florida
Lucy McBathDemocrat · Georgia
Celeste MaloyRepublican · Utah
April McClain DelaneyDemocrat · Maryland
Brittany PettersenDemocrat · Colorado
Melanie StansburyDemocrat · New Mexico
Beth Van DuyneRepublican · Texas