I 

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. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Medicaid Breast Can5 cer Access to Treatment Act’’. 


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1 SEC. 2. REQUIRING MEDICAID COVERAGE FOR CERTAIN IN2 DIVIDUALS WITH BREAST OR CERVICAL CAN3 CER UNDER THE MEDICAID PROGRAM. 

4 (a) IN GENERAL.—Section 1902 of the Social Secu5 rity Act (42 U.S.C. 1396a) is amended— 

6 (1) in subsection (a)(10)— 

7 (A) in subparagraph (A)— 

8 (i) in the matter preceding clause (i), 

9 by striking ‘‘and (30)’’ and inserting 

10 ‘‘(30), and (32)’’; 

11 (ii) in clause (i)— 

12 (I) in subclause (VIII), by strik13 ing ‘‘or’’ at the end; 

14 (II) in subclause (IX), by adding 

15 ‘‘or’’ at the end; and 

16 (III) by adding at the end the 

17 following new subclause: 

18 ‘‘(X) who are described in subsection 

19 (aa) (relating to certain breast or cervical 

20 cancer patients);’’; and 

21 (iii) in clause (ii), by striking sub22 clause (XVIII); and 

23 (B) in the matter at the end, in subdivision 

24 (XIV), by striking ‘‘subparagraph 

25 (A)(10)(ii)(XVIII)’’ and inserting ‘‘subpara26 graph (A)(10)(i)(X)’’; and 


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1 (2) in subsection (aa)— 

2 (A) by striking paragraphs (1) and (2); 

3 (B) by redesignating paragraphs (3) and 

4 (4) as paragraphs (1) and (2), respectively; and 

5 (C) in paragraph (2), as so redesignated, 

6 by inserting ‘‘as in effect on the day before the 

7 date of the enactment of the Patient Protection 

8 and Affordable Care Act,’’ after ‘‘(42 U.S.C. 

9 300gg(c)),’’. 

10 (b) INCLUSION OF BREAST RECONSTRUCTION AS

11 MEDICAL ASSISTANCE.—Section 1905(a) of the Social Se12 curity Act (42 U.S.C. 1396d(a)) is amended— 

13 (1) in paragraph (31), by striking ‘‘and’’ at the 

14 end; 

15 (2) by redesignating paragraph (32) as para16 graph (33); and 

17 (3) by inserting after paragraph (31) the fol18 lowing new paragraph: 

19 ‘‘(32) breast reconstruction following a medi20 cally necessary mastectomy; and’’. 

21 (c) CONFORMING AMENDMENTS.— 

22 (1) FMAP.—Section 1905(b)(4) of the Social 

23 Security Act (42 U.S.C. 1396d(b)(4)) is amended by 

24 striking ‘‘section 1902(a)(10)(A)(ii)(XVIII)’’ and in25 serting ‘‘section 1902(a)(10)(A)(i)(X)’’. 


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1 (2) COST SHARING.— 

2 (A) IN GENERAL.—Subsections (a)(2) and 

3 (b)(2) of section 1916 of the Social Security 

4 Act (42 U.S.C. 1396o) are each amended— 

5 (i) in subparagraph (I), by striking 

6 ‘‘or’’ at the end; 

7 (ii) in subparagraph (J), by striking 

8 ‘‘; and’’ at the end and inserting ‘‘, or’’; 

9 and 

10 (iii) by adding at the end the fol11 lowing new subparagraph: 

12 ‘‘(K) items and services furnished to individuals 

13 described in section 1902(aa); and’’. 

14 (B) ALTERNATIVE COST SHARING.—Sec15 tion 1916A(b)(3) of the Social Security Act (42 

16 U.S.C. 1396o–1(b)(3)) is amended— 

17 (i) in subparagraph (A)(v), by striking 

18 ‘‘1902(a)(10)(A)(ii)(XVIII)’’ and inserting 

19 ‘‘1902(a)(10)(A)(i)(X)’’; and 

20 (ii) in subparagraph (B)(viii), by 

21 striking ‘‘1902(a)(10)(A)(ii)(XVIII)’’ and 

22 inserting ‘‘1902(a)(10)(A)(i)(X)’’. 


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1 (d) EFFECTIVE DATE.—The amendments made by 

2 this section shall apply beginning 1 year after the date 

3 of the enactment of this Act. 

Æ 


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