Us Congress Senate Bill SB3069

Us Congress 2023-2024 Regular Session

• Introduced: 10/18/23
• Refer: 10/18/23

Caption

Breast Cancer Patient Equity Act

Impact

If passed, the bill would make significant changes to Medicare's coverage policies. By explicitly including custom fabricated breast prostheses as covered services, it would help eliminate the disparity in how breast prosthetic devices are treated compared to other prosthetic devices. This change is expected to improve access to vital services for many women, especially considering that over 100,000 women undergo mastectomies annually in the United States. The bill acknowledges the gap in coverage that has left many women without viable options following breast surgery.

Summary

SB3069, titled the Breast Cancer Patient Equity Act, seeks to amend title XVIII of the Social Security Act to provide coverage for custom fabricated breast prostheses for women who have undergone a mastectomy. The bill addresses an important gap in healthcare coverage, as current Medicare regulations do not allow for reimbursement of such prostheses, despite Medicare covering prosthetic devices for other body parts. This bill aims to ensure that women who have lost a breast due to cancer can access appropriate prosthetic solutions that provide better quality of life and comfort post-surgery.

Contention

One of the notable points of contention surrounding SB3069 is the historical exclusion of breast prostheses from Medicare coverage, which has raised concerns among advocates for women's health. Opponents may argue about the potential financial implications of expanding coverage, questioning whether it could lead to an increase in claims and costs for the Medicare program. However, supporters emphasize that the bill would not lead to an increase in the incidence of mastectomies, but rather provide necessary support for those who have already undergone this life-altering procedure.