HR2048-119

In Committee

Metastatic Breast Cancer Access to Care Act

119th Congress Introduced Mar 11, 2025

Summary

What This Bill Does

The Metastatic Breast Cancer Access to Care Act accelerates federal disability and health coverage for people with metastatic breast cancer. It amends the Social Security Act SSDI eligibility provisions so applications filed after enactment are not subject to the usual waiting-period treatment, by adding metastatic breast cancer alongside amyotrophic lateral sclerosis. It also amends Medicare eligibility so individuals with metastatic breast cancer do not have to wait 24 months after disability entitlement before Medicare coverage begins. The bill is targeted at a population with advanced cancer whose treatment costs and work limitations often arrive immediately rather than after a two-year Medicare delay.

Who Benefits and How

People with metastatic breast cancer benefit because SSDI cash benefits and Medicare coverage can begin without the standard waiting periods. Families of metastatic breast cancer patients benefit from faster income support and health coverage during advanced cancer treatment. Oncology practices benefit if more patients have Medicare coverage for chemotherapy, imaging, radiation, surgery, palliative care, and related services sooner. Cancer patient advocacy organizations benefit from a targeted statutory fix for a well-defined advanced disease group.

Who Bears the Burden and How

The Social Security Administration must update disability benefit processing for covered metastatic breast cancer applications. CMS must enroll eligible metastatic breast cancer beneficiaries into Medicare without the 24-month disability waiting period. Federal disability and Medicare financing sources bear earlier benefit costs. Applicants must document qualifying metastatic breast cancer status to receive the accelerated treatment.

Key Provisions

  • Amends SSDI rules to add metastatic breast cancer alongside ALS for waiting-period elimination.
  • Provides the SSDI change for disability applications filed after enactment.
  • Provides a waiver of the 24-month Medicare waiting period for individuals with metastatic breast cancer.
  • Provides Medicare coverage changes for benefit months beginning after enactment.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Eliminates the Social Security Disability Insurance waiting period and waives the 24-month Medicare waiting period for individuals with metastatic breast cancer, paralleling existing ALS treatment.

Key Policy Areas

Social Security, Medicare, Cancer Care

Primary Purpose

Eliminates the Social Security Disability Insurance waiting period and waives the 24-month Medicare waiting period for individuals with metastatic breast cancer, paralleling existing ALS treatment.

Policy Domains

Social Security Medicare Cancer Care

Resolution provisions

Identified Gains
  • People with metastatic breast cancer
  • Families of metastatic breast cancer patients
  • Oncology practices
  • Cancer patient advocacy organizations
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Oncology practices: ,
People with metastatic breast cancer: ,
Cancer patient advocacy organizations: ,
Families of metastatic breast cancer patients: ,
Identified Costs
  • Social Security Administration
  • Centers for Medicare and Medicaid Services
  • Federal taxpayers
  • Disability applicants
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Federal taxpayers: ,
Disability applicants: ,
Social Security Administration: ,
Centers for Medicare and Medicaid Services: ,

Legislative Progress

In Committee
Introduced Committee Passed
Mar 11, 2025

Mr. Garbarino (for himself, Ms. Castor of Florida, Mr. Fitzpatrick, …

Mar 11, 2025

Referred to the House Committee on Ways and Means.

Mar 11, 2025

Introduced in House

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Health Care
6 mentions across 2 clauses
+4 positive ?2 uncertain

Families of metastatic breast cancer patients, Oncology practices, People with metastatic breast cancer

Government
4 mentions across 2 clauses
-4 negative

Centers for Medicare and Medicaid Services, Social Security Administration

Taxpayers
2 mentions across 2 clauses
-2 negative

Taxpayers

3/3
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Social Security Medicare Cancer Care

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology