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04/19/2024 03:57 PM
Pennsylvania House of Representatives
https://www.legis.state.pa.us/cfdocs/Legis/CSM/showMemoPublic.cfm?chamber=H&SPick=20190&cosponId=29173
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House of Representatives
Session of 2019 - 2020 Regular Session

MEMORANDUM

Posted: April 9, 2019 12:22 PM
From: Representative Meghan Schroeder
To: All House members
Subject: Insurance Coverage for Custom Breast Prosthetics
 

In the near future, I plan to introduce legislation that would provide clarity regarding insurance coverage for custom breast prosthetics.

Most insurers cover reconstructive breast surgery and off-the-shelf breast prosthetics for women post mastectomy surgery. There are some situations where neither of these two options are reasonable. Off-the-shelf prosthetics are not always possible if a woman has an irregular chest wall post mastectomy surgery and not every woman is a good candidate for reconstructive surgery. Women post mastectomy surgery have an additional option with custom breast prosthetics, however, some insurers may not always provide coverage.

My legislation will provide clarity in the law to ensure that women have the option to choose which breast prosthetic best suits their individual needs.

I hope you will join me in cosponsoring this important piece of legislation.



Introduced as HB1457