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HR 4545
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Medicare Breast Reconstruction Access and Information Act

To amend title XVIII of the Social Security Act to require the provision of certain information with respect to breast reconstruction surgery under the Medicare program.

Introduced Jul 17, 2025

Latest action (Jul 17, 2025) 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.

Referred to
Ways and Means Committee Energy and Commerce Committee
Policy area
Health
Issues
Healthcare

Summary

This bill requires Medicare providers to inform patients that breast reconstruction surgery following a medically necessary mastectomy is covered under Medicare, prior to performing the mastectomy. The provider must document this information disclosure in the patient's medical record. The requirement applies to mastectomies furnished one year after the bill's enactment. Medicare will not reimburse for a mastectomy unless the provider has provided this coverage information to the patient and documented it in the medical record.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)
29 cosponsors

Money behind the sponsor

Top reported contributors to Maxine Waters’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

  • GUSTAR KAPLAN NUSBAUM PLLC $9,900
  • INVARIANT $8,300
  • SLA WORLDWIDE $6,950
  • MINDSET $6,800
  • EGAN-JONES RATINGS CO. $6,600

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Maxine Waters → · Outside spending →

Actions (2)
  1. Jul 17, 2025 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. · house
  2. Jul 17, 2025 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

  • HR 4093 — Apples to Apples Comparison Act of 2025 · Introduced Jun 24, 2025 · Cong. 119 76%
  • HR 4543 — Medicaid Breast Cancer Access to Treatment Act · Introduced Jul 17, 2025 · Cong. 119 76%
  • HR 3954 — Improving Access to Medicare Coverage Act of 2025 · Introduced Jun 12, 2025 · Cong. 119 74%
  • HR 3137 — Health Care Information Modernization and Security Act of 1993 · Introduced Jul 20, 1994 · Cong. 103 73%
  • S 575 — I CAN Act · Introduced Feb 13, 2025 · Cong. 119 73%
  • HR 879 — Medicare Patient Access and Practice Stabilization Act of 2025 · Introduced Jan 31, 2025 · Cong. 119 73%

Text versions (1)
  • Introduced in House · Jul 17, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

IN THE HOUSE OF REPRESENTATIVES

July 17, 2025

Ms. Waters (for herself, Ms. Garcia of Texas, Ms. Norton, Ms. Velazquez, Ms. Wasserman Schultz, Mrs. Dingell, Ms. Clarke of New York, Mr. Fields, Mr. Johnson of Georgia, Ms. Tlaib, Mr. Thompson of Mississippi, Ms. Sewell, Mr. Gottheimer, Mrs. Watson Coleman, Mr. Thanedar, Ms. Lee of Pennsylvania, Mr. Latimer, Ms. Wilson of Florida, Mr. Veasey, Mr. Cohen, Mr. Lynch, Mrs. McIver, Mr. Garcia of Illinois, Mrs. Cherfilus-McCormick, Ms. Salinas, and Mr. Olszewski) introduced the following bill; which was 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

A BILL

To amend title XVIII of the Social Security Act to require the provision of certain information with respect to breast reconstruction surgery under the Medicare program.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Medicare Breast Reconstruction Access and Information Act”.

SEC. 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.”. <all>

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