Breast and Cervical Cancer Treatment Act

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The Breast and Cervical Cancer Treatment Act provides, Medicaid coverage for treatment to uninsured women who have been screened for and diagnosed with breast or cervical cancer, including precancerous conditions, through the National Breast and Cervical Cancer Early Detection Program.

The laws expanded in 2006 the Breast and Cervical Cancer Treatment Program to include treatment of colorectal and prostate cancer.

States that choose to extend Medicaid benefits to women under this new option receives a federal match of up to 85 percent of the costs of treatment.

Eligibility

  • Meet the established criteria to qualify for CDC screening under the National Breast and Cervical Cancer Early Detection Program;
  • Have income that is at or below 250% Federal Poverty Level (FPL);
  • Be 18 years of age and under 65 years of age;
  • Not be covered under any creditable insurance;
  • Be in need treatment for breast and/or cervical cancer or a pre-cancerous condition;
  • Be ineligible for Medicaid under other eligibility groups;
  • Be a U.S. citizen or an alien with satisfactory immigration status.

States may implement less restricted eligibility criteria. For example, while the Federal program for breast and cervical cancer is limited to females under the age of 65, New York State also covers any males or individuals over 65 years of age under a State-funded program.

Visit to find a local program in your state.

History

Breast and Cervical Cancer Prevention and Treatment Act of 2000 On October 24, 2000, President William Clinton signed into law the Breast and Cervical Cancer Prevention and Treatment Act of 2000 (Public Law 106-354). This Act gives states the option to provide medical assistance through Medicaid to eligible women who were screened for and found to have breast or cervical cancer, including precancerous conditions, through the National Breast and Cervical Cancer Early Detection Program (NBCCEDP).

On January 15, 2002, President Bush signed the Native American Breast and Cervical Cancer Treatment Technical Amendment Act of 2001 (Public Law No. 107-121). This bill amends title XIX of the Social Security Act to clarify that Indian women with breast or cervical cancer who are eligible for health services provided under a medical care program of the Indian Health Service or of a tribal organization are included in the optional Medicaid eligibility category of breast or cervical cancer patients added by the Breast and Cervical Cancer Prevention and Treatment Act of 2000.

NBCCEDP, which is administered by the Centers for Disease Control and Prevention (CDC), provides free breast and cervical cancer screening and follow-up diagnostic services to women in need, such as those who are uninsured or have low incomes. In 2000, CDC began its 10th year of this landmark program, supporting early detection programs in all 50 states, 6 U.S. territories, the District of Columbia, and 12 American Indian and Alaska Native organizations.

As of May 2004, all states have completed all steps required to accept the new Medicaid option.

Medicaid Plan Revisions as of 1/10/03 The Department of Health and Human Services Secretary Tommy G. Thompson has approved a total of 48 states' and the District of Columbia's proposals to expand Medicaid benefits to uninsured women who are diagnosed with breast or cervical cancer through a federal screening program. For additional information, read the press release.

Chapter 176 of the Laws of 2006 expanded the Breast and Cervical Cancer Treatment Program to include treatment of colorectal and prostate cancer. Coverage for colorectal cancer treatment was implemented on April 1, 2007. The prostate cancer treatment portion of this expansion was implemented on October 1, 2007.

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