Kat Cammack (R-FL)
Women’s Health and Cancer Rights Modernization Act of 2025
A Republican bill with 7 Democratic cosponsors · See all 13 cosponsors
Last activity — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
H.R. 5813 is titled the Women's Health and Cancer Rights Modernization Act of 2025. The bill requires group health plans and health insurance issuers to provide coverage for breast or chest wall reconstruction items and services connected to breast cancer treatment. It details specific medical treatments, reconstruction modalities, types, and procedural variations that must be covered. The legislation also mandates that plans provide written notice of these coverage options to participants upon enrollment and annually thereafter. Additionally, the bill prohibits plans from dropping patients or penalizing doctors for following these rules. Finally, it orders the Comptroller General to submit a report within one year regarding any gaps or barriers in access to breast reconstruction.
Yes· 3 of 12
- Scored +9
Would women be better off under this?
The bill directly improves health outcomes and financial protections for women undergoing breast cancer treatment by guaranteeing comprehensive coverage for reconstructive surgeries and related complications.
- Scored +8
Does this make health care easier to get in general?
The legislation significantly enhances healthcare access by requiring group and individual health plans to cover a comprehensive range of breast and chest wall reconstruction options and related medical treatments.
- Scored +6
Would people in middle age be better off under this?
Middle-aged adults, who experience higher rates of breast cancer diagnoses, directly benefit from robust coverage mandates for reconstructive surgeries and treatments.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Comprehensive Care Coverage: Section 2 outlines required coverage for various treatments, including mastectomies, implant-based and tissue-based reconstruction, custom prostheses, and treatment for complications like lymphedema. This ensures patients have broad insurance support for their physical recovery choices.
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Symmetrical Reconstruction: Section 2 requires coverage for surgery and reconstruction of the opposite breast or chest wall to produce a symmetrical appearance. This benefits patients by helping them achieve a balanced physical appearance after unilateral treatments.
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In-Network Availability: Section 2 requires health plans and issuers to ensure that at least one in-network provider is available for each specific reconstruction modality, type, and procedural variation. This helps patients access specialized care without automatically facing out-of-network costs.
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Protection Against Dropping Coverage: Section 2 prohibits health plans and issuers from denying a patient eligibility or continued enrollment solely to avoid complying with the requirements of the bill. This shields patients from losing their health insurance due to their medical needs.
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Provider Protections: Section 2 stops plans from penalizing, reducing reimbursement for, or bribing attending providers to force them to give care that violates these rules or standard medical practices. This supports doctors in providing proper patient care without financial threats from insurance companies.
Potential Negative Impacts for People
- Deductibles and Coinsurance: Section 2 states that the required coverage may still be subject to annual deductibles and coinsurance provisions that are consistent with other benefits under the plan. This means individuals may still have to pay out-of-pocket costs for these medical services.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would women be better off under this? — The bill directly improves health outcomes and financial protections for women undergoing breast cancer treatment by guaranteeing comprehensive coverage for reconstructive surgeries and related complications. Would people in middle age be better off under this? — Middle-aged adults, who experience higher rates of breast cancer diagnoses, directly benefit from robust coverage mandates for reconstructive surgeries and treatments. Would people over 65 be better off under this? — Older adults and seniors with employer-sponsored or private health plans receive enhanced coverage guarantees for breast cancer recovery and complication treatments. Would households on low incomes be better off under this? — Mandating comprehensive insurance coverage helps low-income insured individuals avoid catastrophic out-of-pocket expenses for medically necessary reconstructive procedures. Would middle-income households be better off under this? — Middle-class families with health insurance are protected from unexpected coverage denials and financial burdens related to breast cancer reconstruction. Would union members be better off under this? — Union workers covered under group health plans governed by ERISA receive guaranteed protections and expanded coverage options for breast cancer reconstruction. Would people in their twenties and thirties be better off under this? — Young adult women diagnosed with breast cancer benefit from guaranteed coverage of modern reconstructive options and supportive care. Would men be better off under this? — The bill provides protections for any individuals, including men, who undergo treatment and chest wall reconstruction related to breast cancer.
- Healthcare
- Does this make health care easier to get in general? — The legislation significantly enhances healthcare access by requiring group and individual health plans to cover a comprehensive range of breast and chest wall reconstruction options and related medical treatments.
- Social Issues And Justice
- Does this narrow the gap between how men and women are treated? — By mandating comprehensive insurance coverage for post-mastectomy reconstructive procedures and treatments predominantly affecting women, the bill supports gender-specific healthcare needs.
- Economy And Finance
- Does this give people more protection from unfair business practices? — The bill provides increased consumer protections for health insurance participants by mandating comprehensive coverage for breast cancer reconstruction and related services.
- Governance And Ideology
- Does this give the federal government more power? — The bill establishes federal mandates on group health plans and insurance issuers regarding coverage requirements.
- 11/18/2025
- 2 Cosponsors added.
- 11/4/2025
- 3 Cosponsors added.
- 10/24/2025
- Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 8 Cosponsors added.
- Introduced in House
Scott DesJarlaisRepublican · Tennessee
Debbie DingellDemocrat · Michigan
Lois FrankelDemocrat · Florida
Marie PerezDemocrat · Washington
Ashley HinsonRepublican · Iowa
Young KimRepublican · California
Laurel LeeRepublican · Florida
Lucy McBathDemocrat · Georgia
Celeste MaloyRepublican · Utah
April McClain DelaneyDemocrat · Maryland
Brittany PettersenDemocrat · Colorado
Melanie StansburyDemocrat · New Mexico
Beth Van DuyneRepublican · Texas