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New Medicare Coverage for Custom Breast Prostheses Post-Mastectomy

This bill aims to ensure that the Medicare program covers the cost of custom-fabricated breast prostheses following breast removal surgery. Currently, Medicare covers more expensive surgical reconstructions but denies reimbursement for custom prostheses, affecting access for many women. This change seeks to facilitate access to this support option after mastectomy.
Key points
Medicare will cover custom-fabricated breast prostheses after mastectomy, including their replacement.
This change aims to equalize access to breast reconstruction options, especially for older women and minorities who are less likely to undergo surgery.
The act is set to take effect from its enactment date, meaning new reimbursement rules will apply immediately.
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Additional Information
Breast Cancer Patient Equity Act
Print number: HR 3087
Sponsor: Rep. Chu, Judy [D-CA-27]
Process start date: 2021-05-11