HR4543-119

Introduced

To amend title XIX of the Social Security Act to require coverage for certain individual with breast or cervical cancer under the Medicaid program.

119th Congress Introduced Jul 17, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

This bill requires all state Medicaid programs to cover individuals diagnosed with breast or cervical cancer. Currently, this coverage is optional for states; this bill makes it mandatory. It also adds breast reconstruction after mastectomy as a required covered benefit and eliminates cost-sharing requirements for these patients.

Who Benefits and How

Uninsured and low-income individuals with breast or cervical cancer benefit by gaining guaranteed Medicaid coverage in all 50 states. Hospitals and cancer treatment centers benefit from having a reliable payer source for treating these patients. Plastic surgeons performing reconstructive procedures benefit from explicit coverage of post-mastectomy reconstruction.

Who Bears the Burden and How

State Medicaid programs bear the cost of providing mandatory coverage, with potential increased enrollment and expenditures. Federal government shares this cost burden through Medicaid matching payments. Taxpayers ultimately fund the expanded coverage through federal and state tax revenues.

Key Provisions

  • Moves breast/cervical cancer patient coverage from optional to mandatory for state Medicaid programs
  • Adds breast reconstruction following medically necessary mastectomy as a covered benefit
  • Eliminates cost-sharing (copays, premiums) for breast/cervical cancer treatment services
  • Takes effect 1 year after enactment to allow states time to implement

Evidence Chain:

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

At a Glance

What This Bill Does

Requires all state Medicaid programs to provide coverage for individuals with breast or cervical cancer, making previously optional coverage mandatory and adding breast reconstruction following mastectomy as a covered benefit.

Key Policy Areas

Healthcare, Medicaid, Cancer Treatment

Primary Purpose

Requires all state Medicaid programs to provide coverage for individuals with breast or cervical cancer, making previously optional coverage mandatory and adding breast reconstruction following mastectomy as a covered benefit.

Policy Domains

Healthcare Medicaid Cancer Treatment

Main Bill - Medicaid Cancer Coverage

Identified Gains
Contextual inference, no direct clause citation
  • Uninsured breast/cervical cancer patients
  • Healthcare providers
  • Cancer treatment centers
Model: N/A | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • State Medicaid programs
  • Federal government
  • Taxpayers
Model: N/A | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Legislative Progress

Introduced
Introduced Committee Passed
Jul 17, 2025

Ms. Waters (for herself, Ms. Garcia of Texas, Ms. Norton, …

Stakeholder Effects

cui bono?

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

State & Local Government
1 mention across 1 clause
-1 negative

State Medicaid programs required to expand coverage

Offices Of Physicians
1 mention across 1 clause
+1 positive

Plastic surgeons performing breast reconstruction

2/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Medicaid

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