Breast Cancer Patient Protection Act of 2011
Official title: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast… Show full official titleShow less
Official title: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations.
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Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
Breast Cancer Patient Protect Act of 2011 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to require a group or individual health plan that provides medical and surgical benefits to ensure that inpatient (and in the case of a lumpectomy, outpatient) coverage and radiation therapy are provided for breast cancer treatment. Prohibits such a plan from: (1) restricting benefits for any hospital length of stay to less than 48 hours in connection with a mastectomy or breast conserving surgery or 24 hours in connection with a lymph node dissection, insofar as the attending physician, in consultation with the patient, determines such stay to be medically necessary; or (2) requiring that a provider obtain authorization from the plan for prescribing any such length of stay.
Requires such a plan to: (1) provide notice to each participant and beneficiary regarding the coverage required under this Act; and (2) ensure that coverage is provided for secondary consultations.
Prohibits a health plan from taking specified actions to avoid the requirements of this Act.
Allows a health insurance issuer that provides individual health insurance coverage to nonrenew or discontinue an individual's coverage based on the intentional concealment of material facts regarding a health condition related to the condition for which coverage is being claimed.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 111: Breast Cancer Patient Protection Act of 2011. 112th Congress. Open America. https://openamerica.io/bill/112-HR-111/
"H.R. 111: Breast Cancer Patient Protection Act of 2011." 112th Congress, 2026, Open America, https://openamerica.io/bill/112-HR-111/.
H.R. 111, 112th Cong. (2026), https://openamerica.io/bill/112-HR-111/.
[H.R. 111: Breast Cancer Patient Protection Act of 2011](https://openamerica.io/bill/112-HR-111/)