States can exercise their option under the Breast and Cervical Cancer Prevention and Treatment Act of 20001 to provide full Medicaid benefits to uninsured women under age 65 who were screened through the Centers for Disease Control and Prevention’s (CDC) National Breast and Cervical Cancer Early Detection Program2 and who are in need of treatment. States receive enhanced federal matching funds for the provision of these services.
States may, at their option, continue special Medicaid programs for breast and cervical cancer patients. Also, every woman--regardless of whether she is receiving cancer treatment--with family incomes up to 133% of the Federal Poverty Level or FPL (that's about $14,440 for a single person or $29,000 for a family of four) will be eligible for the full Medicaid benefit package by 2014. Women in families earning between 133% and 400% of the Federal Poverty Level (that's between $14,404 and $43,320 per year for a single person) will be eligible for subsidies to help pay health insurance premiums and out-of-pockets costs starting in 2014. These subsidies can be used for coverage purchased through new state-based "Health Insurance Exchanges."
States that have enacted legislation, approved funding for the policy, or had a plan federally approved receive a "meets policy." Those that have not completed any of these three steps receive a "no policy."
|State||Strength of Policy||Change from 2007|
|District of Columbia||Meets Policy||Same|
|New Hampshire||Meets Policy||Same|
|New Jersey||Meets Policy||Same|
|New Mexico||Meets Policy||Same|
|New York||Meets Policy||Same|
|North Carolina||Meets Policy||Same|
|North Dakota||Meets Policy||Same|
|Rhode Island||Meets Policy||Same|
|South Carolina||Meets Policy||Same|
|South Dakota||Meets Policy||Same|
|West Virginia||Meets Policy||Same|
Data Source: Government Accountability Office, Report to Congressional Requesters, “Medicaid: Source of Screening Affects Women’s Eligibility for Coverage of Breast and Cervical Cancer Treatment in Some States,” May 2009, available at http://www.gao.gov/new.items/d09384.pdf, accessed September 8, 2010.
1 The Breast and Cervical Cancer Treatment Act gives states the option of providing Medicaid coverage to low-income women screened and diagnosed with breast and cervical cancer through the Centers for Disease Control and Prevention's Breast and Cervical Cancer Early Detection Program. 42 U.S.C. § 300n (1993).
2 The National Breast and Cervical Cancer Early Detection Program provides free breast and cervical cancer screening and follow-up diagnostic services to uninsured or low-income women, but does not provide treatment to those found to have either disease. Breast and Cervical Cancer Mortality Prevention Act, 42 U.S.C. § 300k (2007).