,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #dedc  ,,in ,,the ,,house ,,of  
,,representatives  ,july #ag1 #bjbe,ms4 
,waters 7for herself1 ,ms4 ,garcia of   
,texas1 ,ms4 ,norton1 ,ms4 ,velzquez1   
,ms4 ,wasserman ,schultz1 ,mrs4         
,dingell1 ,ms4 ,clarke of ,new ,york1   
,mr4 ,fields1 ,mr4 ,johnson of ,georgia1
 ,ms4 ,tlaib1 ,mr4 ,thompson of         
,mississippi1 ,ms4 ,sewell1 ,mr4        
,gottheimer1 ,mrs4 ,watson ,coleman1    
,mr4 ,thanedar1 ,ms4 ,lee of            
,pennsylvania1 ,mr4 ,latimer1 ,ms4      
,wilson of ,florida1 ,mr4 ,veasey1 ,mr4 
,cohen1 ,mr4 ,lynch1 ,mrs4 ,mc,iver1    
,mr4 ,garca of ,illinois1 ,mrs4         
,cherfilus-,mc,cormick1 ,ms4 ,moore of  
,wisconsin1 and ,mr4 ,costa7 introduced 
the following bill2 which was referred  
to the ,committee on ,energy and        
,commerce  ,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 program4  #a4 ,short title   

,this ,act may be cited as the ,medicaid
 ,breast ,cancer ,access to ,treatment  
,act4  #b4 ,requiring ,medicaid coverage
 for certain individuals with breast or 
cervical cancer under the ,medicaid     
program  7a7 ,in general ,section #aijb 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acif;a7 is amended--  7#a7 in
 subsection 7a77#aj7-- 7,a7 in          
subparagraph 7,a7--  7i7 in the matter  
preceding clause 7i71 by striking and   
7#cj7 and inserting 7#cj71 and 7#cb72   
7ii7 in clause 7i7--  7,i7 in subclause 
7,,viii71 by striking or at the end2    
7,,ii7 in subclause 7,,ix71 by adding or
 at the end2 and  7,,iii7 by adding at  
the end the following new subclause3    
7,x7 who are described in subsection    
7aa7 7relating to certain breast or     
cervical cancer patients72  2 and  7iii7
 in clause 7ii71 by striking subclause  
7,,xviii72 and  7,b7 in the matter at   
the end1 in subdivision 7,,xiv71 by     
striking subparagraph                   
7,a77#aj77;ii77,,xviii7 and inserting   

subparagraph 7,a77#aj77;i77,x72 and     
7#b7 in subsection 7aa7-- 7,a7 by       
striking paragraphs 7#a7 and 7#b72  7,b7
 by redesignating paragraphs 7#c7 and   
7#d7 as paragraphs 7#a7 and 7#b71       
respectively2 and  7,c7 in paragraph    
7#b71 as so redesignated1 by inserting  
as in effect on the day before the date 
of the enactment of the ,patient        
,protection and ,affordable ,care ,act1 
after 7#db ,u4,s4,c4 #cjj;gg7c7714  7b7 
,inclusion of breast reconstruction as  
medical assistance ,section #aije7;a7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acif;d7a77 is amended-- 7#a7 
in paragraph 7#ca71 by striking and at  
the end2  7#b7 by redesignating         
paragraph 7#cb7 as paragraph 7#cc72 and 
7#c7 by inserting after paragraph 7#ca7 
the following new paragraph3  7#cb7     
breast reconstruction following a       
medically necessary mastectomy2 and  4  
7c7 ,conforming amendments  7#a7 ,,fmap 
,section #aije7;b77#d7 of the ,social   
,security ,act 7#db ,u4,s4,c4           

#acif;d7b77#d77 is amended by striking  
section #aijb7;a77#aj77;,a77ii77,,xviii7
 and inserting section                  
#aijb7;a77#aj77;,a77i77,x74  7#b7 ,cost 
sharing  7,a7 ,in general ,subsections  
7a77#b7 and 7b77#b7 of section #aiaf of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #acifo7 are each amended-- 7i7
 in subparagraph 7,i71 by striking or at
 the end2  7ii7 in subparagraph 7,j71 by
 striking 2 and at the end and inserting
 1 or2 and  7iii7 by adding at the end  
the following new subparagraph3  7,k7   
items and services furnished to         
individuals described in section        
#aijb7;aa72 and  4  7,b7 ,alternative   
cost sharing ,section #aiaf;,a7b77#c7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acifo-#a7;b77#c77 is         
amended--  7i7 in subparagraph 7,a77v71 
by striking                             
#aijb7;a77#aj77;,a77ii77,,xviii7 and    
inserting #aijb7;a77#aj77;,a77i77,x72   
and  7ii7 in subparagraph 7,b77viii71 by
 striking                               

#aijb7;a77#aj77;,a77ii77,,xviii7 and    
inserting #aijb7;a77#aj77;,a77i77,x74   
7d7 ,effective date ,the amendments made
 by this section shall apply beginning  
#a year after the date of the enactment 
of this ,act4