Guidance and Summary of Actions

Breast and Cervical Cancer Prevention and Treatment Act of 2000

On this page

• About the Act
• Summary of Actions to Implement the Act
• Guidance on Implementing the Act
• Contacts for More Information

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About the Act

On October 24th, 2000, President William Clinton signed into law the Breast and Cervical Cancer Prevention and Treatment Act of 2000 (Public Law 106-354) (PDF-115K). 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) (PDF-33K). 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.

Summary of Actions to Implement the Act

This section contains a summary of actions taken by states and affected territories and tribal organizations to accept and implement the Medicaid option provided for by the Act. In some cases, legislative action will not be necessary; only administrative actions will be required.

Snapshot
Action Toward Implementing the Breast and Cervical Cancer Prevention and Treatment Act of 2000

(Descriptive List of State Actions)

Legislation
Choose the state or "All States + U.S." for a list of bills, bill status, and bill summaries directly related to the new Medicaid option. The links lead directly to the results of a search of CDC's database of cancer legislation, which is updated every Monday.†

†For some states, an amendment to the state plan is the only requirement to participate in the new option; no legislative action is required.

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 visit http://www.hhs.gov/news/press/2003pres/20030110a.html

Guidance on Implementing the Act

Currently, the Centers for Medicare & Medicaid Services (CMS) which administers the Medicaid program, and CDC are developing guidance on how to adopt the new Medicaid option. Below is a list of guidance.

• What is the Breast and Cervical Cancer Prevention and Treatment Act?
  
• CMS Guidance on Implementing PL 106-354
  Contains a CMS form (memo) required to revise Medicaid plans to accept the new Medicaid option.

Contacts for More Information

• NBCCEDP Contacts
  NBCCEDP contacts can answer questions regarding NBCCEDP program eligibility, as well as provide information about locations where services are offered.
• CDC
  Call our Toll-Free Voice Information System at 1-888-842-6355, Option 7, or E-mail cancerinfo@cdc.gov.
• CMS
  As the administering agency for Medicaid, CMS will be able to provide you with additional information.
  • Breast and Cervical Cancer Prevention and Treatment
  • State and Federal Medicaid Contacts
• National Conference of State Legislatures (NCSL)
  State Legislation Relating to the Breast and Cervical Cancer Prevention and Treatment Act of 2000*

*Links to non-Federal organizations found at this site are provided solely as a service to our users. These links do not constitute an endorsement of these organizations or their programs by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at these links.

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Page last reviewed: Thursday, September 23, 2004

United States Department of Health and Human Services
Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Cancer Prevention and Control