Requires Medicare to Cover Breast Prostheses
HR10921-119 · Introduced Oct 29, 2026
Why it matters
Women who have had a mastectomy could get Medicare help paying for custom-made breast forms. Right now Medicare denies these claims as not medically necessary.
What it does
- Adds custom-made breast prostheses to the items Medicare covers after breast removal surgery
- Covers replacement prostheses as well as the first set
- Applies to items and services furnished on or after the date the law is enacted
In committee
Next: a committee vote
- Introduceddone
- Committeecurrent step
- Housenot yet
- Senatenot yet
- Presidentnot yet
About this bill
Would require Medicare to cover custom-made breast prostheses after a mastectomy, including replacements. The coverage would apply to items and services furnished after the law takes effect.
Breast Cancer Patient Equity Act
Perspectives
💬 The case for
Breast cancer groups would likely say Medicare already pays for other custom prostheses, so breasts should be covered too. They argue women should have the same choice as those who get reconstruction surgery.
💬 The case against
Some Medicare cost watchers would likely say the bill adds spending without a clear price limit. They may also question whether the devices are needed for health.
Sponsored by
Sponsor details for this federal bill are at the source link.
News
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