Women’s Health and Cancer Rights Modernization Act of 2025

This bill would require group health plans and health insurers that cover breast cancer treatment to also cover breast or chest wall reconstruction when a patient chooses it. Required coverage would include mastectomy and breast-conserving surgery, each type of implant-based and tissue-based reconstruction (including future types added to a federal medical coding system), flat closure, surgery on the other breast for symmetry, custom breast prostheses, and treatment of complications such as lymphedema. Plans would have to have at least one in-network provider for each type of reconstruction and give enrollees written notice of this coverage when they enroll and every year. Plans could not deny enrollment to avoid these rules or pay providers in ways meant to steer care away from these requirements. The Comptroller General would report to Congress within one year on gaps or barriers in access to breast reconstruction.

Full text and official record on Congress.gov

Sponsors

• Kat Cammack Republican sponsor
• 13 cosponsors