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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 10058 Introduced in House (IH)]

<DOC>

118th CONGRESS
  2d Session
                               H. R. 10058

 To amend title XIX of the Social Security Act to require coverage for 
 certain individual with breast or cervical cancer under the Medicaid 
                                program.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                            October 25, 2024

Ms. Waters (for herself, Mr. Garamendi, Mr. Espaillat, Mr. Gottheimer, 
Mr. Connolly, Mr. Grijalva, and Mr. Thompson of Mississippi) introduced 
 the following bill; which was referred to the Committee on Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL

 
 To amend title XIX of the Social Security Act to require coverage for 
 certain individual with breast or cervical cancer under the Medicaid 
                                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 ``Medicaid Breast Cancer Access to 
Treatment Act''.

SEC. 2. REQUIRING MEDICAID COVERAGE FOR CERTAIN INDIVIDUALS WITH BREAST 
              OR CERVICAL CANCER UNDER THE MEDICAID PROGRAM.

    (a) In General.--Section 1902 of the Social Security Act (42 U.S.C. 
1396a) is amended--
            (1) in subsection (a)(10)--
                    (A) in subparagraph (A)--
                            (i) in the matter preceding clause (i), by 
                        striking ``and (30)'' and inserting ``(30), and 
                        (32)'';
                            (ii) in clause (i)--
                                    (I) in subclause (VIII), by 
                                striking ``or'' at the end;
                                    (II) in subclause (IX), by adding 
                                ``or'' at the end; and
                                    (III) by adding at the end the 
                                following new subclause:
                            ``(X) who are described in subsection (aa) 
                        (relating to certain breast or cervical cancer 
                        patients);''; and
                            (iii) in clause (ii), by striking subclause 
                        (XVIII); and
                    (B) in the matter at the end, in subdivision (XIV), 
                by striking ``subparagraph (A)(10)(ii)(XVIII)'' and 
                inserting ``subparagraph (A)(10)(i)(X)''; and
            (2) in subsection (aa)--
                    (A) by striking paragraphs (1) and (2);
                    (B) by redesignating paragraphs (3) and (4) as 
                paragraphs (1) and (2), respectively; and
                    (C) in paragraph (2), as so redesignated, by 
                inserting ``as in effect on the day before the date of 
                the enactment of the Patient Protection and Affordable 
                Care Act,'' after ``(42 U.S.C. 300gg(c)),''.
    (b) Inclusion of Breast Reconstruction as Medical Assistance.--
Section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is 
amended--
            (1) in paragraph (31), by striking ``and'' at the end;
            (2) by redesignating paragraph (32) as paragraph (33); and
            (3) by inserting after paragraph (31) the following new 
        paragraph:
            ``(32) breast reconstruction following a medically 
        necessary mastectomy; and''.
    (c) Conforming Amendments.--
            (1) FMAP.--Section 1905(b)(4) of the Social Security Act 
        (42 U.S.C. 1396d(b)(4)) is amended by striking ``section 
        1902(a)(10)(A)(ii)(XVIII)'' and inserting ``section 
        1902(a)(10)(A)(i)(X)''.
            (2) Cost sharing.--
                    (A) In general.--Subsections (a)(2) and (b)(2) of 
                section 1916 of the Social Security Act (42 U.S.C. 
                1396o) are each amended--
                            (i) in subparagraph (I), by striking ``or'' 
                        at the end;
                            (ii) in subparagraph (J), by striking ``; 
                        and'' at the end and inserting ``, or''; and
                            (iii) by adding at the end the following 
                        new subparagraph:
            ``(K) items and services furnished to individuals described 
        in section 1902(aa); and''.
                    (B) Alternative cost sharing.--Section 1916A(b)(3) 
                of the Social Security Act (42 U.S.C. 1396o-1(b)(3)) is 
                amended--
                            (i) in subparagraph (A)(v), by striking 
                        ``1902(a)(10)(A)(ii)(XVIII)'' and inserting 
                        ``1902(a)(10)(A)(i)(X)''; and
                            (ii) in subparagraph (B)(viii), by striking 
                        ``1902(a)(10)(A)(ii)(XVIII)'' and inserting 
                        ``1902(a)(10)(A)(i)(X)''.
    (d) Effective Date.--The amendments made by this section shall 
apply beginning 1 year after the date of the enactment of this Act.
                                 <all>
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