HR4545-119

1. Short title This Act may be cited as the Medicare Breast Reconstruction Access and Information Act.

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: 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— 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 documents the provision of such information in the medical record of such individual. (aa)Requirement To provide certain information with respect to breast reconstruction surgeryNotwithstanding 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..