Section 1 Short title
This Act may be cited as the “Medicaid Breast Cancer Access to Treatment Act”.
Medicaid Breast Cancer Access to Treatment Act
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.
Sec. 2 Requiring Medicaid coverage for certain individuals with breast or cervical cancer under the Medicaid program
in subsection (a)(10)—
in subparagraph (A)—
in the matter preceding clause (i), by striking “and (30)” and inserting “(30), and (32)”;
in clause (i)—
in subclause (VIII), by striking “or” at the end;
in subclause (IX), by adding “or” at the end; and
by adding at the end the following new subclause:
“(X) who are described in subsection (aa) (relating to certain breast or cervical cancer patients);”
in clause (ii), by striking subclause (XVIII); and
in the matter at the end, in subdivision (XIV), by striking “subparagraph (A)(10)(ii)(XVIII)” and inserting “subparagraph (A)(10)(i)(X)”; and
in subsection (aa)—
by striking paragraphs (1) and (2);
by redesignating paragraphs (3) and (4) as paragraphs (1) and (2), respectively; and
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)),”.
Inclusion of breast reconstruction as medical assistance— Section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended—
in paragraph (31), by striking “and” at the end;
by redesignating paragraph (32) as paragraph (33); and
by inserting after paragraph (31) the following new paragraph:
“(32) breast reconstruction following a medically necessary mastectomy; and”
Conforming amendments—
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)”.
Cost sharing—
In general— Subsections (a)(2) and (b)(2) of section 1916 of the Social Security Act (42 U.S.C. 1396o) are each amended—
in subparagraph (I), by striking “or” at the end;
in subparagraph (J), by striking “; and” at the end and inserting “, or”; and
by adding at the end the following new subparagraph:
“(K) items and services furnished to individuals described in section 1902(aa); and”
Alternative cost sharing— Section 1916A(b)(3) of the Social Security Act (42 U.S.C. 1396o–1(b)(3)) is amended—
in subparagraph (A)(v), by striking “1902(a)(10)(A)(ii)(XVIII)” and inserting “1902(a)(10)(A)(i)(X)”; and
in subparagraph (B)(viii), by striking “1902(a)(10)(A)(ii)(XVIII)” and inserting “1902(a)(10)(A)(i)(X)”.
Effective date— The amendments made by this section shall apply beginning 1 year after the date of the enactment of this Act.