“To amend title XIX of the Social Security Act to require coverage for certain individual with breast or cervical cancer under the Medicaid program.”
No CRS summary available for this bill.
This section requires state Medicaid plans to provide full-scope medical assistance to certain individuals diagnosed with breast or cervical cancer described in section 1902(aa) (42 U.S.C. 1396a(aa))—i.e., uninsured women under age 65 screened and diagnosed through CDC programs (National Breast and Cervical Cancer Early Detection Program) who meet income eligibility—as a mandatory categorically needy eligibility group under section 1902(a)(10)(A)(i)(X) (previously an optional targeted low-income eligibility group under section 1902(a)(10)(A)(ii)(XVIII)). It revises section 1902(aa) by striking paragraphs (1) and (2), redesignating paragraphs (3) and (4) as (1) and (2), and specifying in redesignated paragraph (2) that the essential community provider definition is as in effect before enactment of the Patient Protection and Affordable Care Act. The section also requires coverage of breast reconstruction following a medically necessary mastectomy as a Medicaid service under section 1905(a)(32); makes conforming changes to preserve 100% federal matching payments under section 1905(b)(4) and exemptions from cost-sharing under sections 1916 and 1916A; and applies these changes beginning one year after enactment.