; or (ii) January 1 of the first year beginning at least one year after the date of the enactment of this Act. For purposes of clause (i), any plan amendment made pursuant to a collective bargaining agreement relating to the plan which amends the plan solely to conform to any requirement added by this subsection shall not be treated as a termination of such collective bargaining agreement. (b) Medicare coverage (1) Coverage Section 1861(s)(2) of the Social Security Act ( 42 U.S.C. 1395x(s)(2) ) is amended— (A) in subparagraph (GG), by striking at the end and ; (B) in subparagraph (HH), by inserting at the end ; and ; and (C) by adding at the end the following new subparagraph: (II) qualifying reconstructive breast surgery services (as defined in subsection (kkk)). . (2) Definition Section 1861 of the Social Security Act ( 42 U.S.C. 1395x ) is amended by adding at the end the following new subsection: (kkk) Qualifying reconstructive breast surgery services The term qualifying reconstructive breast surgery services means, in the case of an individual who has a mastectomy, breast reconstruction in connection with such mastectomy, including— (1) all stages of reconstruction of the breast on which the mastectomy has been performed; (2) surgery and reconstruction of the other breast to produce a symmetrical appearance; (3) prostheses and physical complications of mastectomy, including lymphedemas; and (4) tattooing of the nipple-areolar complex pursuant to or as part of such reconstruction if such tattooing is performed by a physician, physician extender, or State-licensed tattoo artist (as such terms are defined in section 1834(x)), as prescribed by a physician, in a manner determined in consultation with the attending physician and the individual. . (3) Payment (A) In general Section 1833(a)(1) of the Social Security Act ( 42 U.S.C. 1395l(a)(1) ) is amended— (i) by striking and (DD) and inserting (DD)