Bills · HR 4543
IN COMMITTEE· 119TH CONGRESS
House BillHR 4543Health
Medicaid Breast Cancer Access to Treatment Act
INTRO JUL 17· LAST ACTION JUL 17
READING
3MIN
COSPONSORS
29
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it could significantly expand access to life-saving cancer treatment for individuals who might otherwise struggle to afford it. If this bill becomes law, more people diagnosed with breast or cervical cancer would be able to receive comprehensive care through Medicaid, potentially reducing financial burdens and improving health outcomes. Currently, coverage for these patients can vary by state or be dependent on specific screening programs, leaving gaps in access. By mandating broader coverage and including essential post-cancer surgery like breast reconstruction, the bill addresses critical health equity issues and ensures that a cancer diagnosis doesn't lead to insurmountable medical debt or lack of treatment.
KEY PROVISIONS
4AI-extractedPROVISION 01
Requires all state Medicaid programs to provide coverage for certain individuals diagnosed with breast or cervical cancer.
This provision ensures a consistent, mandatory baseline of Medicaid eligibility for these cancer patients across the nation.
PROVISION 02
Explicitly adds breast reconstruction following a medically necessary mastectomy as a covered service under Medicaid.
This guarantees that essential reconstructive surgery for breast cancer survivors is covered by Medicaid, promoting physical and emotional recovery.
PROVISION 03
Updates federal funding rules (FMAP) to ensure federal matching funds are provided for this expanded coverage group.
This ensures that states receive financial support from the federal government for covering these additional patients and services.
PROVISION 04
Amends cost-sharing rules so that individuals receiving Medicaid coverage for breast or cervical cancer treatment face limited or no out-of-pocket costs.
This helps remove financial barriers to care, making treatment more accessible and affordable for low-income patients.
SPONSORSHIP
1 + 29
D· California
YRS IN OFFICE
35
BILLS LED
44
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 29 REP 0 IND 0
ACTION TIMELINE
2 EVENTSJUL 17
Introduced in House
JUL 17
Referred to the House Committee on Energy and Commerce.
BILL INFO
TypeHouse Bill
NumberHR 4543
Congress119th
StatusIn Committee
IntroducedJul 17, 2025
Last actionJul 17, 2025
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IN COMMITTEE· 119TH CONGRESS · ENERGY AND COMMERCE COMMITTEE · INTRODUCED JUL 17, 2025
House BillHR 4543Health
Medicaid Breast Cancer Access to Treatment Act
INTRODUCED JUL 17, 2025· LAST ACTION JUL 17, 2025
PASSAGE CHANCES
—%
READING
3 min
COSPONSORS
29
COMPLEXITY
Moderate
