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Mandatory Health Coverage Expansion for Comprehensive Breast Reconstruction After Cancer Treatment.

This act mandates that health insurance plans must cover all stages and types of breast or chest wall reconstruction following breast cancer treatment, including mastectomy, symmetry procedures, and treatment for complications like lymphedema. This ensures citizens undergoing cancer treatment have guaranteed access to a full range of modern reconstructive options, improving post-treatment quality of life.
Key points
Insurance plans must cover all modalities of breast reconstruction (implants, tissue flaps, and future techniques) and surgery for symmetry on the unaffected breast.
Coverage is required for treating physical complications of surgery and radiation, including lymphedema compression items.
Health plans must guarantee access to at least one in-network provider for every required reconstruction type.
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Status: Introduced
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Additional Information
Print number: 119_HR_5813
Sponsor: Rep. Cammack, Kat [R-FL-3]
Process start date: 2025-10-24