119-HR4545

Medicare Breast Reconstruction Access and Information Act

Last action was on 7-17-2025

Bill is currently in: House
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Current status is 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.

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119th CONGRESS

1st Session

H. R. 4545

1. Short title
2. Requiring the provision of certain information with respect to breast reconstruction surgery

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:

(aa) Requirement To provide certain information with respect to breast reconstruction surgery - 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—

(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.