October 23, 2023 - Last week,  U.S. Senators Lisa Murkowski (R-AK) and Tammy Duckworth (D-IL) re-introduced legislation to ensure breast cancer patients and survivors who have experienced a mastectomy are able to access custom breast prosthetics under Medicare. The Breast Cancer Patient Equity Act would provide coverage for custom fabricated breast prostheses—which, unlike other prosthetic devices, are not currently covered by Medicare—to the more than 100,000 women who undergo mastectomies annually.

Senator Lisa Murkowski (R-AK)

“Battling breast cancer is a traumatizing experience for the many women who go through it—and right now, many who undergo mastectomies have poor choices when it comes to reconstructive surgeries. That’s why I’m proud to join Senator Duckworth on the Breast Cancer Patient Equity Act, which would provide more choices for women who undergo mastectomies,” said Senator Murkowski. “This bill will not just expand coverage under Medicare for thousands of women, but it will also aid in the emotional and physical healing for women who battled breast cancer.”

“We can do so much more to help patients and survivors of breast cancer fully recover and achieve the best quality of life,” said Senator Duckworth. “It is absurd that the breast is the only human body part not currently covered by Medicare as a customized replacement, which is one of the reasons why I’m proud to reintroduce this legislation with Senator Murkowski to finally change that and help expand access and options for women who have already been through so much.”

A copy of the bill text is available here.

For most women, a flat-backed, off-the-shelf breast prosthesis will be suitable and fit well. However, after mastectomy surgery, not all women will have a flat chest wall to allow a good fit for off-the-shelf prosthesis. Further, it can be difficult for some women, particularly women of color, to find prostheses that match their skin tone.

In recent years, technological advancements have enabled the creation and precise fitting of custom breast prostheses. Custom prostheses are typically made from higher-end silicone products produced in a unique mold designed to fit the chest like a puzzle piece. Through laser scans of the chest, which may have bumps, scarring or dips due to surgery, many women find that custom breast prostheses provide a superior fit and comfort. Unfortunately, these patients and survivors may struggle to access custom breast prostheses due to lack of coverage.
Source: Senator Lisa Murkowski