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HB 6080

AN ACT CONCERNING MEDICAID COVERAGE OF NONINVASIVE, CUSTOM BREAST PROSTHESES FOR MASTECTOMY PATIENTS.

2025 Regular Session Introduced by Amy Morrin Bello and 2 co-sponsors

Connecticut would require Medicaid to cover custom breast prostheses for mastectomy patients, removing financial barriers to post-surgical reconstruction for low-income cancer survivors.

PUBLIC HEARING 0220
#mastectomies #medicaid #prosthesis
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Bill Summary · HB 6080

Legislative bill overview

HB 6080 would require Connecticut's Medicaid program to cover noninvasive, custom breast prostheses for patients who have undergone mastectomies. The bill ensures that individuals without sufficient financial means can access these medical devices as part of their post-surgical care and reconstruction options.

Why is this important

Breast prostheses can significantly improve physical comfort, clothing fit, and psychological well-being for mastectomy patients, yet can cost hundreds to thousands of dollars out-of-pocket. Medicaid coverage would remove financial barriers for low-income cancer survivors and ensure equitable access to standard post-operative care across socioeconomic groups.

Potential points of contention

  • Cost and fiscal impact: State officials may debate whether Medicaid should cover prostheses, how many patients would qualify, and the total budgetary obligation this creates
  • Definition and scope: Questions may arise about what qualifies as "custom" versus standard prostheses, replacement frequency, and whether other reconstruction alternatives should be prioritized
  • Medical necessity vs. cosmetic care: Disagreement over whether prostheses constitute medically necessary treatment or elective cosmetic enhancement, which affects coverage justification

Compiled from official sources — confirm details with the bill’s official record.

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